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Wisconsin rates for HCPCS 38101

Splenectomy Partial Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,056.14 / $2,278.80 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.18 / $1,125.30 / $2,278.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,979.00 / $13,297.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,089.02 / $2,509.64 / $7,269.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,850.24 / $3,330.73 / $5,109.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.77 / $3,424.52 / $3,891.50
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,056.14 / $1,362.86 / $2,200.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,056.14 / $1,524.63 / $4,821.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.84 / $2,517.73 / $9,902.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.44 / $743.32 / $2,305.36
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.29 / $1,361.87 / $2,200.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,106.60 / $2,809.50 / $4,604.10
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,325.54 / $10,715.44 / $10,715.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,968.92 / $5,459.10 / $9,902.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,840.22 / $4,840.22 / $4,840.22
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,619.38 / $6,064.92 / $6,064.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.00 / $4,917.00 / $19,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.68 / $2,105.03 / $4,749.42