go back

Wisconsin rates for HCPCS 64874

Suture Nerve Req Xtnsv Mobil/Trpos Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.69 / $340.92 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.69 / $165.29 / $607.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,159.00 / $8,456.00 / $10,914.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.16 / $376.41 / $954.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.13 / $499.14 / $765.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.52 / $641.64 / $729.14
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.69 / $203.31 / $358.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.69 / $262.50 / $1,778.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.90 / $332.29 / $3,201.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.15 / $215.84 / $482.46
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.69 / $203.31 / $358.67
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.19 / $408.67 / $610.07
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,639.37 / $2,639.37 / $2,639.37
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.35 / $826.60 / $3,201.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.61 / $582.61 / $582.61
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.44 / $960.80 / $960.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.00 / $1,370.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.36 / $343.87 / $748.90