go back

Wisconsin rates for HCPCS 64713

Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,621.81 / $14,454.40
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
$2,041.74 / $2,398.83 / $3,801.89
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,288.25 / $3,981.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,584.89 / $8,128.31
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,778.28 / $2,691.53
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $3,548.13 / $5,495.41
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$354.81 / $354.81 / $549.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11