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Wisconsin rates for HCPCS D9212

Trigeminal Division Block Anesthesia

Facilitymedian $56 · 10th–90th $45–$1120%20%10th90th$56Professionalmedian $58 · 10th–90th $25–$1620%10%10th90th$58$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $52.48 / $66.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $72.44 / $169.82
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $56.23 / $112.20
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $56.23 / $112.20
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $380.19
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $54.95 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $165.96 / $234.42
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $380.19 / $380.19
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $380.19 / $380.19