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Wisconsin rates for HCPCS 77372

Radiation Delivery Stereotactic Cranial Linear

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,937.16 / $6,175.77 / $6,175.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.57 / $2,036.17 / $6,038.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,532.62 / $4,241.74 / $4,820.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.00 / $2,305.98 / $6,302.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.25 / $926.53 / $1,898.35
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,688.81 / $2,204.69 / $4,034.37
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,079.70 / $5,057.00 / $6,302.04
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,567.96 / $5,824.52 / $5,824.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.00 / $2,153.00 / $4,642.55