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Wisconsin rates for HCPCS 64866

Anastomosis Facial-Spinal Accessory

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,140.08 / $2,519.35 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.08 / $1,217.38 / $4,758.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $10,800.00 / $19,822.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,231.63 / $2,636.87 / $7,012.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,200.78 / $3,740.36 / $5,737.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,846.22 / $4,746.09 / $5,393.29
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,140.08 / $1,592.44 / $2,519.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,140.08 / $1,763.77 / $5,887.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,325.57 / $2,268.32 / $10,776.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.95 / $981.65 / $2,612.38
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,140.08 / $1,538.83 / $2,519.35
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,432.94 / $2,964.46 / $4,425.35
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,691.00 / $8,691.00 / $8,691.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,384.42 / $6,109.80 / $10,776.75
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,303.60 / $4,303.60 / $4,303.60
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,681.60 / $6,388.25 / $7,106.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,283.46 / $2,243.76 / $5,365.46