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Wisconsin rates for HCPCS 69716

Impl Oi Implt Skull Mag Tc Attachment Esp<100

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.72 / $1,270.80 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,080.00 / $17,505.00 / $23,937.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,619.31 / $1,892.29 / $3,052.20
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.72 / $677.76 / $1,214.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$621.28 / $9,630.90 / $17,200.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.72 / $677.76 / $1,214.32
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.30 / $1,474.27 / $2,209.71
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57,685.10 / $57,685.10 / $57,685.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,984.00 / $12,373.00 / $15,090.00