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Wisconsin rates for HCPCS 69955

Total facial nerve decompression and/or repair (may include graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $3,981.07 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,905.46 / $4,897.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $18,197.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $3,801.89 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $6,025.60 / $9,549.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $5,754.40 / $6,606.93
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $6,918.31 / $13,489.63
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $4,786.30 / $6,025.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $8,317.64 / $15,848.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $3,311.31 / $14,454.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $2,691.53
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $4,265.80 / $6,456.54
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $26,915.35 / $26,915.35
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $9,332.54 / $14,125.38
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $5,370.32
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,888.44 / $9,120.11 / $10,964.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,302.69 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,951.21 / $8,317.64