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Wisconsin rates for HCPCS 64761

Surgery-Nervous System

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,131.81 / $1,322.61 / $2,028.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.92 / $904.15 / $1,807.05
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.00 / $589.39 / $919.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.00 / $589.39 / $966.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,109.44 / $2,109.44 / $2,109.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $58.40
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.00 / $589.39 / $919.50
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,516.05 / $4,516.05 / $4,516.05
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,264.18 / $2,109.44 / $2,109.44