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Wisconsin rates for HCPCS 64885

Nerve Graft Head/Neck <4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$989.57 / $2,191.39 / $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
$2,770.94 / $3,238.07 / $4,967.28
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$989.57 / $1,394.33 / $2,248.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$989.57 / $1,747.64 / $13,250.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$989.57 / $1,385.40 / $2,248.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,102.10 / $2,561.33 / $3,823.56
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,348.38 / $6,348.38 / $18,039.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,266.00 / $11,608.00 / $13,980.00