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Wisconsin rates for HCPCS 64771

Transection/Avulsion Oth Cranial Nrv Xdrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.50 / $1,247.78 / $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
$1,498.56 / $1,751.19 / $2,686.37
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.50 / $796.40 / $1,231.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.57 / $942.00 / $7,891.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.50 / $793.43 / $1,231.08
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,204.45 / $1,467.58 / $2,190.80
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