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Wisconsin rates for HCPCS 64896

Nerve Graft Mlt Strands Hand/Foot > 4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,287.31 / $2,872.60 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.31 / $1,448.70 / $5,426.02
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
$1,365.16 / $3,152.59 / $7,947.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,613.49 / $4,222.64 / $6,477.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,136.82 / $5,392.59 / $6,127.94
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,287.31 / $1,884.00 / $2,872.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,287.31 / $2,005.15 / $13,250.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,533.13 / $2,812.22 / $11,055.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.62 / $882.21 / $2,890.32
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,287.31 / $1,836.56 / $2,872.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,808.00 / $3,421.44 / $5,107.54
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,348.38 / $6,348.38 / $17,524.30
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,709.20 / $6,800.05 / $11,055.60
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,849.77 / $4,849.77 / $4,849.77
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,597.01 / $7,729.11 / $8,074.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,608.00 / $13,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,529.51 / $2,774.42 / $6,120.05