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Wisconsin rates for HCPCS 64420

Injection Aa&/Strd Intercostal Nrv Single Lvl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.26 / $203.38 / $2,456.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.49 / $93.67 / $314.64
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$91.74 / $91.74 / $91.74
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
$72.94 / $132.88 / $337.74
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$114.06 / $199.32 / $506.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.23 / $306.43 / $470.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.27 / $225.93 / $438.11
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.26 / $97.67 / $202.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.27 / $117.89 / $2,951.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.58 / $292.85 / $1,340.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.91 / $110.23 / $235.87
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.26 / $97.67 / $202.36
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.24 / $212.40 / $331.64
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.43 / $266.43 / $763.85
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.21 / $419.04 / $1,340.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.11 / $338.31 / $577.29
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
$114.00 / $205.13 / $490.76