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Wisconsin rates for HCPCS 64461

Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $158.49 / $1,905.46
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $125.89 / $263.03
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$199.53 / $346.74 / $524.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,090.30 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $173.78 / $416.87
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$169.82 / $263.03 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $416.87 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $309.03 / $616.60
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $165.96 / $3,162.28
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $239.88 / $363.08
DeanCare
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$213.80 / $354.81 / $549.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $177.83 / $3,630.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $269.15 / $1,000.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $263.03 / $489.78
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,445.44 / $2,089.30
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $363.08 / $954.99
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $524.81 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,818.38 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $181.97 / $501.19