go back

Wisconsin rates for HCPCS 64681

Dstrj Nulyt W/Worad Mntr Suprior Hypogstr Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.16 / $457.25 / $3,119.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.16 / $433.00 / $1,344.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.00 / $2,550.00 / $4,471.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.57 / $547.90 / $1,291.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,221.02 / $1,426.86 / $2,188.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.04 / $866.32 / $2,021.96
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.16 / $433.00 / $779.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.36 / $499.80 / $2,951.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.21 / $1,181.22 / $3,364.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.53 / $335.01 / $898.56
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.42 / $433.00 / $779.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.20 / $915.90 / $1,522.17
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$982.04 / $982.04 / $1,534.74
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.72 / $1,933.97 / $3,364.72
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.29 / $788.29 / $1,698.39
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.09 / $1,554.39 / $2,664.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,957.00 / $3,068.00 / $4,295.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.00 / $1,048.89 / $2,363.79