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Wisconsin rates for HCPCS 31653

Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), 3 or more mediastinal and/or hilar lymph node stations or structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.29 / $2,571.64 / $16,560.49
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$145.80 / $439.58 / $2,291.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,514.37 / $4,106.82 / $6,624.15
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.88 / $498.71 / $2,062.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.10 / $1,910.36 / $8,783.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.88 / $498.71 / $2,062.81
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.04 / $1,197.59 / $4,161.79
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,067.19 / $2,067.19 / $2,067.19
Quartz
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$869.54 / $869.54 / $869.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,614.00 / $6,477.00 / $8,384.00