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Wisconsin rates for HCPCS 0499T

Cysto W/Dil & Urtl Rx Del F/Urtl Strix/Stenosis

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,351.00 / $4,314.00 / $5,962.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.42 / $1,049.86 / $1,693.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.93 / $444.85 / $505.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,025.09 / $2,025.09 / $2,025.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,898.65 / $8,898.65 / $8,898.65
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.59 / $1,253.59 / $2,025.09