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Wisconsin rates for HCPCS 64886

Nerve Graft Head/Neck >4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,186.47 / $2,621.05 / $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
$3,308.01 / $3,865.67 / $5,930.04
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,186.47 / $1,679.90 / $2,613.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,186.47 / $2,055.25 / $13,250.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,186.47 / $1,679.90 / $2,613.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,518.75 / $3,069.00 / $4,581.41
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,046.36 / $8,046.36 / $22,211.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,608.00 / $13,980.00