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Wisconsin rates for HCPCS 64704

Neuroplasty Nerve Hand/Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.72 / $681.48 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.72 / $332.85 / $1,708.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.61 / $720.18 / $1,861.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.27 / $1,008.80 / $1,547.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.72 / $1,278.16 / $1,452.45
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.72 / $454.08 / $757.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.88 / $638.17 / $7,891.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.90 / $627.58 / $3,232.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $245.99 / $768.96
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.72 / $454.08 / $757.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.10 / $787.25 / $1,175.21
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,900.50 / $1,900.50 / $5,246.20
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$497.27 / $497.27 / $497.27
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.13 / $1,568.95 / $3,232.86
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.48 / $1,742.90 / $1,913.91
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
$334.19 / $625.46 / $1,510.05