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Wisconsin rates for HCPCS 64417

Injection Aa&/Strd Axillary Nerve W/Img Gdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.64 / $236.31 / $1,894.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.91 / $144.16 / $449.97
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$207.42 / $207.42 / $207.42
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
$81.44 / $143.60 / $352.32
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$135.72 / $215.40 / $528.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.54 / $505.45 / $775.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.87 / $280.83 / $716.96
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.93 / $144.78 / $265.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.52 / $153.29 / $2,951.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.47 / $286.35 / $1,227.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.22 / $148.14 / $315.53
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.93 / $144.78 / $265.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.19 / $309.81 / $538.49
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.99 / $295.99 / $982.04
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.58 / $318.60 / $1,227.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.11 / $370.08 / $944.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,367.00 / $3,088.30 / $4,295.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.82 / $257.70 / $598.86