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Wisconsin rates for HCPCS 64766

Trnsxj/Avlsn Obturat Nrv Inpelv W/Wo Tenotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.36 / $1,268.71 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.36 / $621.80 / $2,396.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,720.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.82 / $1,206.30 / $3,364.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,596.78 / $1,865.97 / $2,862.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.54 / $2,384.04 / $2,709.14
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.36 / $822.95 / $1,259.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.36 / $894.90 / $11,100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.44 / $1,172.95 / $4,637.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.75 / $492.76 / $1,294.14
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.36 / $802.48 / $1,259.16
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.40 / $1,533.31 / $2,288.92
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,408.82 / $2,408.82 / $6,649.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,197.73 / $2,969.30 / $4,637.92
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,155.62 / $2,155.62 / $2,155.62
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,829.55 / $3,251.15 / $3,569.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,240.00 / $9,158.00 / $12,062.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.44 / $1,187.72 / $2,602.59