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Wisconsin rates for HCPCS 00754

Anes Hernia Repair Upper Abdomen Omphalocele

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.00 / $48.00 / $888.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $48.00 / $604.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.00 / $688.00 / $982.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.00 / $473.20 / $805.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $73.00 / $1,802.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $70.00 / $665.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.04 / $553.84 / $1,000.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.00 / $840.00 / $1,802.24
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.00 / $656.00 / $656.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.60 / $1,114.88 / $1,114.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.00 / $69.00 / $101.49