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Wisconsin rates for HCPCS 69714

Impl Oi Implt Skull Perq Attachment Esp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.21 / $1,016.12 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,080.00 / $16,493.00 / $23,358.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,299.42 / $1,518.47 / $2,449.23
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.21 / $675.96 / $1,437.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.77 / $7,775.00 / $19,754.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.21 / $675.96 / $1,437.35
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.45 / $1,498.52 / $3,257.83
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57,753.25 / $57,753.25 / $57,753.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,650.00 / $14,566.00 / $19,562.00