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Wisconsin rates for HCPCS 63744

Rplcmt Irrigation/Revj Lumbosarach Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.10 / $1,393.07 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,948.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,693.20 / $1,978.64 / $3,035.29
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.10 / $888.19 / $1,388.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.14 / $935.05 / $13,250.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.10 / $861.90 / $1,388.91
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,430.00 / $1,742.40 / $2,601.06
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,836.74 / $8,836.74 / $24,393.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,608.00 / $13,980.00