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Wisconsin rates for HCPCS 64722

Decompression; unspecified nerve(s) (specify)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $758.58 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $407.38 / $1,288.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,786.30 / $7,585.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $691.83 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,122.02 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $1,445.44 / $1,659.59
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $724.44 / $3,548.13
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $891.25 / $1,148.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $758.58 / $8,128.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $630.96 / $4,168.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $891.25 / $1,348.96
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $3,548.13 / $5,248.07
Quartz
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,238.72 / $2,238.72 / $3,311.31
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$354.81 / $354.81 / $524.81
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,737.80 / $4,168.69
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,041.74 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $537.03 / $1,479.11