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Wisconsin rates for HCPCS 38100

Splenectomy Total Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,049.01 / $2,261.54 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,979.00 / $13,297.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,831.32 / $3,308.62 / $5,075.51
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$128.44 / $128.44 / $128.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,038.58 / $1,356.93 / $2,383.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.59 / $1,539.52 / $4,821.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$524.39 / $524.39 / $524.39
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,038.58 / $1,356.93 / $2,383.27
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,078.40 / $2,771.89 / $4,572.33
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,309.66 / $10,601.20 / $10,601.20
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$128.44 / $524.39 / $524.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $6,032.00 / $19,003.00