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Wisconsin rates for HCPCS 64721

Neuroplasty &/Transpos Median Nrv Carpal Tunne

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$910.04 / $4,825.14 / $10,294.75
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,230.72 / $5,949.80 / $11,838.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.44 / $864.64 / $3,759.91
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$206.57 / $1,805.43 / $7,446.00
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
$415.11 / $963.82 / $2,471.98
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$622.66 / $1,484.86 / $3,707.99
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.73 / $498.88 / $623.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.72 / $428.11 / $574.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,178.67 / $1,377.36 / $2,112.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.13 / $1,310.09 / $1,972.75
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.46 / $574.88 / $919.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.78 / $727.58 / $6,055.00
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,865.50 / $3,865.50 / $4,430.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.56 / $1,111.23 / $4,131.06
Medica
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$5,669.40 / $5,669.40 / $6,112.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.75 / $369.20 / $982.10
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.46 / $572.12 / $919.45
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.80 / $1,097.86 / $1,622.12
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,900.50 / $1,900.50 / $2,079.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.17 / $2,055.44 / $4,131.06
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,485.58 / $2,554.11 / $2,599.55
Security Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$5,250.00 / $5,250.00 / $5,250.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,103.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.61 / $1,367.19 / $2,791.27