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Wisconsin rates for HCPCS D9212

Trigeminal Division Block Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.73 / $55.73 / $55.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.06 / $55.73 / $71.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.27 / $73.04 / $241.41
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.22 / $55.73 / $111.46
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.09 / $25.09 / $25.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.36 / $55.73 / $111.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.72 / $382.72 / $382.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $60.00 / $90.82
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.36 / $55.73 / $124.21
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.09 / $25.09 / $25.09
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.55 / $168.01 / $241.88
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.87 / $371.87 / $371.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.08 / $382.72 / $382.72