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Wisconsin rates for HCPCS 64907

Nerve Pedical Transfer Second Stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,171.60 / $1,894.00 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,171.60 / $1,319.19 / $4,935.47
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
$1,241.63 / $2,869.25 / $7,235.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,287.29 / $3,841.45 / $5,892.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,989.28 / $4,906.10 / $5,575.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,158.08 / $1,393.55 / $2,612.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,161.29 / $1,825.16 / $13,250.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,414.79 / $2,572.34 / $10,045.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.62 / $794.56 / $2,575.20
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,158.08 / $1,393.55 / $2,612.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,553.85 / $3,111.77 / $4,645.26
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
$2,464.80 / $6,187.70 / $10,045.50
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,415.35 / $4,415.35 / $4,415.35
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,252.22 / $6,904.95 / $7,346.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,266.00 / $11,608.00 / $13,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,370.31 / $2,410.56 / $5,460.41