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Wisconsin rates for HCPCS 64461

Pvb Thoracic Single Injection Site W/Img Gid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.19 / $159.08 / $1,894.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,413.12 / $1,413.12 / $1,413.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.19 / $126.77 / $397.09
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
$114.18 / $176.80 / $449.61
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$158.72 / $265.20 / $674.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.84 / $417.00 / $639.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.32 / $301.24 / $598.59
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.20 / $130.19 / $270.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.22 / $155.30 / $3,034.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.54 / $288.32 / $993.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.91 / $127.76 / $312.41
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.20 / $130.19 / $270.76
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.18 / $285.83 / $446.31
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.69 / $349.69 / $763.85
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.04 / $572.54 / $1,004.72
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.60 / $451.06 / $788.81
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
$142.50 / $272.66 / $579.20