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Wisconsin rates for HCPCS 64719

Neuroplasty &/Transposition Ulnar Nerve Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.08 / $847.78 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,075.94 / $1,257.32 / $1,928.76
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.08 / $561.85 / $847.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.08 / $706.50 / $7,891.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.08 / $561.85 / $847.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.05 / $995.54 / $1,486.15
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,900.50 / $1,900.50 / $5,246.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,103.00 / $7,495.00 / $9,134.00