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Wisconsin rates for HCPCS 64876

Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $389.05 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $199.53 / $537.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $8,709.64 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $363.08 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $562.34 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $741.31 / $831.76
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $371.54 / $5,754.40
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $446.68 / $575.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $371.54 / $1,778.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $346.74 / $1,412.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $398.11 / $602.56
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $2,511.89 / $2,511.89
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $933.25 / $1,380.38
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $1,096.48 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,584.89 / $2,137.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $288.40 / $812.83