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Wisconsin rates for HCPCS 64430

Injection Aa&/Strd Pudendal Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.24 / $112.14 / $1,894.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,548.19 / $2,587.10 / $4,057.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.00 / $95.55 / $290.14
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$225.89 / $577.13 / $2,840.07
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
$70.77 / $141.97 / $371.05
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$119.17 / $212.95 / $556.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.13 / $307.48 / $471.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.88 / $210.57 / $437.11
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $95.55 / $198.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.27 / $109.91 / $2,951.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.32 / $255.48 / $1,087.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.91 / $109.93 / $241.85
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.26 / $95.55 / $198.76
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.85 / $213.68 / $346.41
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.89 / $292.89 / $982.04
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.69 / $351.23 / $1,087.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.11 / $328.59 / $575.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,957.00 / $3,068.00 / $4,295.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.84 / $255.63 / $456.58