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Wisconsin rates for HCPCS 64905

Nerve Pedicle Transfer First Stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.78 / $2,006.86 / $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
$2,553.77 / $2,984.29 / $4,577.97
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.94 / $1,093.94 / $2,006.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.94 / $1,420.19 / $13,250.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.94 / $1,080.00 / $2,006.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,957.15 / $2,384.71 / $3,559.91
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,348.38 / $6,348.38 / $17,524.30
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,661.06 / $1,661.06 / $1,661.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,217.00 / $11,733.00 / $14,978.00