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Wisconsin rates for HCPCS 64575

Open Implantation Nea Peripheral Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.70 / $642.51 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,878.00 / $15,810.00 / $23,778.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.41 / $954.05 / $1,463.53
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.70 / $365.52 / $642.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.70 / $440.20 / $19,562.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.70 / $352.16 / $642.51
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.45 / $754.78 / $1,126.73
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,389.30 / $20,389.30 / $77,786.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,650.00 / $14,566.00 / $19,562.00