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Wisconsin rates for HCPCS 15845

Grf Facial Nerve Paralysis Regional Muscle Tr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$881.89 / $2,171.21 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.89 / $926.73 / $3,486.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.49 / $2,223.81 / $4,707.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,744.81 / $3,207.53 / $4,920.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.82 / $2,093.10 / $3,057.36
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.98 / $1,378.29 / $3,041.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.81 / $2,894.94 / $11,598.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.98 / $1,582.98 / $4,571.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.48 / $616.78 / $1,886.48
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.98 / $1,378.29 / $3,041.55
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,012.72 / $2,580.65 / $3,662.31
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,529.08 / $11,102.00 / $11,102.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,218.61 / $4,422.42 / $9,234.62
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,938.06 / $1,938.06 / $1,938.06
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,833.66 / $3,573.88 / $4,473.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.43 / $1,582.98 / $4,075.80