go back

Wisconsin rates for HCPCS 64581

Open Implantation Nea Sacral Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.46 / $1,335.15 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,878.00 / $15,141.00 / $22,609.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,674.28 / $1,956.53 / $3,001.37
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.40 / $776.04 / $1,335.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.46 / $934.97 / $16,976.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.40 / $759.55 / $1,335.15
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.80 / $1,561.82 / $2,331.50
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,247.80 / $11,247.80 / $31,048.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,650.00 / $14,566.00 / $19,562.00