go back

Wisconsin rates for HCPCS 64553

Prq Impltj Neurostimulator Eltrd Cranial Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.77 / $1,894.00 / $13,699.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.77 / $1,108.85 / $3,740.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,878.00 / $15,141.00 / $22,609.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.37 / $885.98 / $2,162.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,538.60 / $12,315.19 / $18,891.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.35 / $1,850.56 / $17,184.29
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.20 / $651.19 / $4,099.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.00 / $2,021.65 / $12,741.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.58 / $3,540.19 / $28,324.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.31 / $2,861.60 / $7,599.16
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.35 / $651.19 / $4,099.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.76 / $4,018.93 / $12,086.95
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,896.58 / $6,896.58 / $18,678.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.96 / $14,539.01 / $28,324.16
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,322.92 / $1,322.92 / $9,170.23
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.04 / $2,438.52 / $22,644.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,627.00 / $12,373.00 / $15,090.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.89 / $3,416.37 / $8,590.75