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Wisconsin rates for HCPCS 64449

Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.31 / $132.50 / $14,482.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$28.66 / $28.66 / $118.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.31 / $62.77 / $280.77
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
$77.04 / $140.35 / $380.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.19 / $189.55 / $290.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.45 / $244.73 / $278.10
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.31 / $87.68 / $172.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.06 / $132.50 / $3,995.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.53 / $183.75 / $1,398.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.93 / $72.32 / $156.20
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.31 / $85.97 / $172.96
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.75 / $154.44 / $261.86
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$982.04 / $982.04 / $2,710.90
Quartz
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$2,055.60 / $2,055.60 / $2,055.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.95 / $466.35 / $1,398.72
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.95 / $366.42 / $366.42
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
$72.91 / $155.04 / $317.89