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Wisconsin rates for HCPCS 69930

Cochlear Device Implantation W/Wo Mastoidectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.91 / $2,472.28 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,123.00 / $18,187.00 / $24,019.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,167.44 / $3,701.40 / $5,970.23
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.91 / $1,643.52 / $2,590.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.67 / $13,528.00 / $31,762.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.91 / $1,643.52 / $2,590.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,364.69 / $3,651.46 / $4,301.21
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156,719.79 / $156,719.79 / $156,719.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,676.00 / $21,823.00 / $27,528.00