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Wisconsin rates for HCPCS 69720

Dcmprn Facial Nrv Intratemporal Lat Ganglion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.83 / $2,411.69 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,948.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,104.36 / $3,627.69 / $5,851.33
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.83 / $1,606.85 / $2,433.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.05 / $5,266.00 / $15,126.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.83 / $1,647.21 / $2,433.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,302.94 / $3,556.11 / $4,188.89
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,547.20 / $16,547.20 / $16,547.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,608.00 / $13,980.00