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Wisconsin rates for HCPCS 64610

Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $933.25 / $2,691.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,570.88 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,290.87 / $3,715.35
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $851.14 / $3,162.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $912.01 / $7,244.36
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,548.82 / $2,818.38
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $3,548.13 / $5,248.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11