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Wisconsin rates for HCPCS 64590

Ins/Rplc Perph Sac/Gstrc Npg/Rcvr Pckt Crtj&Conn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.80 / $601.40 / $13,935.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,123.00 / $18,187.00 / $24,019.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.95 / $1,363.67 / $2,091.91
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.85 / $312.89 / $601.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.70 / $365.01 / $20,293.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.85 / $289.95 / $601.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.90 / $948.04 / $1,344.68
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,064.36 / $2,064.36 / $40,421.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,078.00 / $19,708.00 / $24,227.00