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Wisconsin rates for HCPCS 64736

Transection/Avulsion Mental Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.14 / $704.03 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.14 / $332.79 / $1,414.61
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
$359.71 / $759.53 / $1,907.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.79 / $1,024.59 / $1,571.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.63 / $1,302.79 / $1,480.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.14 / $465.21 / $745.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.99 / $559.38 / $5,261.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.66 / $742.34 / $3,232.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.30 / $229.56 / $676.52
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.14 / $464.11 / $745.89
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.00 / $807.84 / $1,205.95
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,900.50 / $1,900.50 / $5,246.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.52 / $1,712.50 / $3,232.86
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.01 / $1,164.01 / $1,164.01
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,950.84 / $1,950.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,723.00 / $3,912.00 / $5,865.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.42 / $750.08 / $1,730.86