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Wisconsin rates for HCPCS 64862

Suture of; lumbar plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.55 / $2,763.14 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.55 / $1,339.42 / $5,219.26
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
$1,305.80 / $2,939.06 / $7,279.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,475.62 / $4,061.54 / $6,230.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.23 / $5,186.18 / $5,893.40
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.55 / $1,657.22 / $2,757.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.55 / $1,929.04 / $13,250.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,502.41 / $2,627.78 / $10,052.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.95 / $822.05 / $2,735.31
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.55 / $1,608.22 / $2,757.70
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,700.75 / $3,290.76 / $4,912.46
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,348.38 / $6,348.38 / $17,524.30
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,605.52 / $6,537.85 / $10,052.56
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,664.59 / $4,664.59 / $4,664.59
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,343.85 / $7,120.10 / $7,765.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,608.00 / $13,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,468.16 / $2,441.83 / $5,969.06