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Wisconsin rates for HCPCS 64416

Injection Aa&/Strd Brach Plex Cont Nfs Cath Img

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.28 / $158.54 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.35 / $230.61 / $353.77
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.28 / $107.70 / $176.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.28 / $152.76 / $3,995.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.28 / $107.70 / $176.15
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.54 / $182.16 / $271.93
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,244.70 / $1,244.70 / $3,435.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,957.00 / $3,068.00 / $4,295.00