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Wisconsin rates for HCPCS 64680

Dstrj Neurolytic W/Wo Rad Monitor Celiac Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.06 / $595.00 / $3,119.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.00 / $2,550.00 / $4,471.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.85 / $1,077.25 / $1,652.53
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.06 / $319.02 / $589.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.06 / $333.86 / $2,951.70
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.06 / $319.02 / $589.27
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.91 / $671.91 / $1,130.95
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$982.04 / $982.04 / $1,126.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,367.00 / $3,088.30 / $4,295.00