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Wisconsin rates for HCPCS 64772

Transection or avulsion of other spinal nerve, extradural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $1,548.82 / $3,715.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,786.30 / $7,585.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,698.24 / $2,691.53
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $912.01 / $3,981.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,148.15 / $8,128.31
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,230.27 / $1,862.09
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $3,548.13 / $5,248.07
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$354.81 / $354.81 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11