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Wisconsin rates for HCPCS 64790

Excision of neurofibroma or neurolemmoma; major peripheral nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,698.24 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,897.79 / $7,585.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,511.89 / $3,981.07
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,348.96 / $5,495.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,698.24 / $8,128.31
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,905.46 / $2,951.21
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $3,548.13 / $5,888.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11