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Wisconsin rates for HCPCS 64864

Suture Facial Nerve Extracranial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.82 / $1,750.57 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,720.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,208.65 / $2,580.98 / $3,959.28
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.82 / $1,142.33 / $1,741.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.82 / $1,271.33 / $13,250.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.82 / $1,142.33 / $1,741.99
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,689.35 / $2,058.41 / $3,072.80
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,348.38 / $6,348.38 / $17,524.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,266.00 / $11,608.00 / $13,980.00