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Wisconsin rates for HCPCS 64712

Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $3,090.30 / $4,897.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,786.30 / $7,585.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,778.28 / $2,884.03
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,174.90 / $3,981.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,202.26 / $8,128.31
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,348.96 / $2,041.74
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $5,248.07 / $5,248.07
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$354.81 / $354.81 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11