go back

Wisconsin rates for HCPCS 64510

Injection, anesthetic agent; stellate ganglion (cervical sympathetic)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.31 / $157.86 / $1,894.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.31 / $137.57 / $378.07
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$155.43 / $155.43 / $155.43
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
$95.88 / $174.66 / $441.24
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$149.44 / $261.99 / $661.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.49 / $463.33 / $710.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.21 / $300.20 / $655.89
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.31 / $139.84 / $255.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.68 / $159.60 / $2,951.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.52 / $288.64 / $2,139.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.22 / $148.14 / $315.53
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.31 / $139.84 / $255.19
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.66 / $311.04 / $485.65
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.65 / $346.65 / $982.04
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.96 / $542.86 / $2,139.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.70 / $449.55 / $864.31
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
$142.55 / $248.24 / $611.73