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Wisconsin rates for HCPCS G0516

Insertion of nonbiodegradable drug delivery implants, four or more (services for subdermal rod implant)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $181.97 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $125.89 / $234.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,090.30 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $331.13 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $616.60 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $181.97 / $371.54
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $363.08 / $3,801.89
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $269.15 / $467.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $912.01 / $1,778.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $426.58 / $1,071.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $64.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $281.84 / $562.34
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $602.56
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $549.54 / $1,288.25
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $380.19
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $416.87 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,584.89 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $302.00 / $891.25