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Wisconsin rates for HCPCS 64417

Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed

Facilitymedian $2,754 · 10th–90th $151$5,0120%10%10th90th$2,754Professionalmedian $151 · 10th–90th $62$5500%5%10%10th90th$151$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $776.25 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $138.04 / $407.38
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,090.30 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $144.54 / $346.74
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$138.04 / $213.80 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $501.19 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $269.15 / $676.08
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $162.18 / $3,162.28
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $234.42 / $426.58
DeanCare
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$177.83 / $354.81 / $645.65
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $162.18 / $3,630.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $251.19 / $1,230.27
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $95.50
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $2,951.21 / $3,235.94
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $288.40 / $602.56
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $275.42 / $602.56
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,691.53 / $2,691.53
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $660.69 / $1,230.27
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $501.19
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $398.11 / $954.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,754.23 / $5,011.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $173.78 / $467.74