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Wisconsin rates for HCPCS 64450

Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.23 / $553.16 / $1,894.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$709.20 / $709.20 / $987.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.86 / $104.28 / $433.50
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$249.86 / $502.50 / $1,275.00
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
$54.54 / $94.72 / $240.28
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$80.95 / $142.08 / $360.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.97 / $46.78 / $58.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.11 / $70.47 / $92.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.85 / $235.88 / $361.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.02 / $161.55 / $334.93
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.22 / $70.23 / $148.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.87 / $89.07 / $2,930.60
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,719.11 / $1,719.11 / $1,844.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.25 / $199.90 / $1,340.00
Medica
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$207.93 / $207.93 / $207.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.03 / $92.07 / $163.35
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.22 / $70.23 / $148.34
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.57 / $159.84 / $249.57
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.06 / $93.06 / $187.71
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.39 / $320.36 / $1,340.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.61 / $241.89 / $441.36
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
$86.77 / $155.30 / $335.27