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Wisconsin rates for HCPCS 64405

Injection Aa&/Strd Greater Occipital Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.45 / $151.02 / $1,894.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$439.12 / $439.12 / $709.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.67 / $98.97 / $416.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$135.13 / $778.50 / $1,236.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.44 / $113.75 / $299.76
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$98.13 / $170.62 / $449.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.43 / $60.52 / $77.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.95 / $70.31 / $95.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.74 / $226.40 / $347.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.76 / $187.83 / $324.95
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.93 / $79.06 / $151.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.59 / $98.91 / $1,449.00
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$774.48 / $774.75 / $912.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.93 / $182.70 / $1,157.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.03 / $85.00 / $169.27
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.93 / $76.40 / $151.02
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.25 / $173.27 / $268.38
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.77 / $73.77 / $240.69
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.12 / $272.83 / $1,157.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.22 / $291.99 / $428.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,590.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.70 / $157.86 / $336.74