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Wisconsin rates for HCPCS 64402

Injection Anesthetic Agent Facial Nerve

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $426.58 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $309.03 / $562.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,148.15 / $1,148.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $58.88 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $1,288.25 / $1,288.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $1,148.15 / $1,148.15