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Wisconsin rates for HCPCS 64402

Injection Anesthetic Agent Facial Nerve

Facilitymedian $427 · 10th–90th $372–$7240%20%10th90th$427Professionalmedian $347 · 10th–90th $129–$1,1480%10%10th90th$347$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
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $426.58 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $309.03 / $562.34
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,148.15 / $1,148.15
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $58.88 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $1,288.25 / $1,288.25
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $1,148.15 / $1,148.15