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Wisconsin rates for HCPCS 38115

Rpr Rptd Spleen Splenorrhaphy W/Wo Prtl Splenect

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.19 / $2,523.17 / $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
$3,155.72 / $3,687.71 / $5,657.04
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.61 / $1,444.94 / $2,411.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,161.79 / $1,673.41 / $4,821.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.61 / $1,435.40 / $2,411.03
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,334.00 / $3,112.78 / $5,101.08
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,471.00 / $11,879.04 / $11,879.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $6,032.00 / $19,003.00