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Wisconsin rates for HCPCS 64624

Destruction Neurolytic Agt Genicular Nerve W/Img

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.27 / $542.66 / $2,324.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.27 / $366.52 / $795.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.00 / $3,496.00 / $5,962.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.17 / $395.53 / $875.50
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$320.92 / $593.29 / $1,350.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,056.10 / $1,234.15 / $1,893.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.48 / $647.75 / $1,741.84
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.33 / $338.33 / $659.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.24 / $427.39 / $7,318.00
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,434.98 / $3,003.25 / $4,563.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.78 / $822.49 / $3,050.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.56 / $285.88 / $828.07
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.33 / $338.33 / $589.65
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.58 / $612.67 / $1,249.84
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$684.28 / $684.28 / $1,900.50
Quartz
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$534.08 / $534.08 / $534.08
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.65 / $1,095.68 / $3,102.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.29 / $853.53 / $2,295.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.97 / $743.18 / $1,779.44