go back

Wisconsin rates for HCPCS 69725

Dcmprn Nrv Intratemporal Medial Geniculate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.42 / $3,803.74 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,604.39 / $1,735.42 / $6,480.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,948.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,802.59 / $4,821.12 / $10,453.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,861.54 / $5,681.10 / $9,163.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,518.91 / $5,363.48 / $7,702.39
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.42 / $2,523.63 / $3,768.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,859.61 / $5,266.00 / $15,126.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,129.02 / $4,483.88 / $11,924.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.76 / $1,177.53 / $3,786.42
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.42 / $2,523.63 / $3,768.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,638.70 / $5,618.71 / $6,618.52
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,960.05 / $13,960.05 / $13,960.05
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,599.48 / $8,967.75 / $14,283.70
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,160.02 / $5,160.02 / $5,160.02
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,788.41 / $10,476.75 / $10,476.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,217.00 / $11,733.00 / $15,126.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,129.02 / $4,135.93 / $8,655.28