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Wisconsin rates for HCPCS 64913

Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $338.84 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $173.78 / $371.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $323.59 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $501.19 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $660.69 / $758.58
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $3,162.28 / $5,888.44
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $407.38 / $512.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $1,202.26 / $2,041.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $281.84 / $954.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $371.54 / $630.96
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $1,071.52
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $851.14 / $1,230.27
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $977.24 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,584.89 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $269.15 / $758.58