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Wisconsin rates for HCPCS 64742

Transection/Avulsion Facial Nrv Different/Cmpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.37 / $1,034.36 / $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
$1,320.14 / $1,542.69 / $2,366.52
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.37 / $681.09 / $1,022.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.37 / $832.27 / $7,891.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.37 / $673.82 / $1,022.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.85 / $1,179.29 / $1,760.44
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
$4,918.00 / $6,477.00 / $8,384.00