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Wisconsin rates for HCPCS 77767

Hdr Rdncl Skn Surf Brachytx Les <2cm/1 Chan

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.26 / $83.26 / $117.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.99 / $367.89 / $371.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.72 / $486.32 / $1,640.83
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$145.97 / $170.59 / $261.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.37 / $1,116.11 / $1,268.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.27 / $551.48 / $1,574.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.80 / $157.87 / $431.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.24 / $593.17 / $1,061.55
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$252.81 / $252.81 / $252.81
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.75 / $1,159.40 / $1,574.10
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,532.61 / $1,532.61 / $1,532.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.27 / $551.48 / $1,093.78