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Wisconsin rates for HCPCS 01250

Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of upper leg

Facilitymedian $31 · 10th–90th $31–$310%50%100%$31Professionalmedian $1,230 · 10th–90th $51–$1,7780%20%10th90th$1,230$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
QZ
Typical Low / Median / Typical High
$51.29 / $1,230.27 / $1,778.28
Cigna
Facility/Professional
Facility
Modifier
QK
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
QX
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
QY
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Security Health
Facility/Professional
Professional
Modifier
AD
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47