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Wisconsin rates for HCPCS 64561

Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.14 / $694.21 / $6,461.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.57 / $694.21 / $1,685.53
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$424.19 / $516.03 / $516.03
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
$438.33 / $716.32 / $1,717.28
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$657.49 / $1,074.48 / $2,575.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,971.65 / $2,304.03 / $3,534.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.75 / $1,321.94 / $3,261.34
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.14 / $602.22 / $1,249.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.31 / $708.90 / $12,741.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.12 / $2,110.21 / $8,263.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.28 / $563.06 / $1,482.58
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.14 / $602.22 / $1,249.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.29 / $1,328.09 / $2,406.91
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,119.56 / $2,119.56 / $10,721.10
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.33 / $2,778.63 / $8,263.84
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.76 / $1,741.98 / $4,297.54
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
$811.67 / $1,591.34 / $3,291.68