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Wisconsin rates for HCPCS 64890

Nerve Graft 1 Strand Hand/Foot <4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.99 / $2,178.27 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.99 / $1,121.43 / $4,631.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,720.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.47 / $2,390.17 / $6,021.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,743.01 / $3,205.42 / $4,917.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,620.48 / $4,088.84 / $4,646.41
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.99 / $1,441.26 / $2,192.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.99 / $1,580.29 / $13,250.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.50 / $2,101.86 / $7,918.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.50 / $659.48 / $2,111.66
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.99 / $1,441.26 / $2,192.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,126.15 / $2,590.63 / $3,867.30
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,046.36 / $8,046.36 / $22,211.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,054.19 / $5,134.85 / $7,918.64
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,674.63 / $3,674.63 / $3,674.63
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,492.93 / $5,806.48 / $6,122.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,217.00 / $11,733.00 / $14,978.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.44 / $1,980.78 / $4,621.37