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Wisconsin rates for HCPCS 64634

Dstr Nrolytc Agnt Parverteb Fct Addl Crvcl/Thora

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.81 / $961.74 / $3,964.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.97 / $242.90 / $827.27
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$93.56 / $287.30 / $2,973.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $1,183.00 / $1,530.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.78 / $183.80 / $377.80
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$146.63 / $275.70 / $576.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.25 / $75.90 / $95.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.98 / $235.18 / $303.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.47 / $815.05 / $1,250.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.88 / $294.38 / $1,145.70
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.44 / $205.86 / $389.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.30 / $265.19 / $1,642.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.12 / $399.89 / $1,408.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.72 / $235.96 / $554.52
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.44 / $198.73 / $389.45
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.54 / $300.66 / $825.19
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.41 / $457.41 / $457.41
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.66 / $607.82 / $2,060.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.10 / $387.91 / $1,509.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.00 / $1,370.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.04 / $379.81 / $827.18