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Wisconsin rates for HCPCS 38120

Laparoscopic Surgical Splenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.56 / $3,726.89 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,878.00 / $14,844.00 / $22,609.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,622.26 / $3,064.32 / $4,700.74
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.56 / $1,350.24 / $2,184.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.56 / $1,496.42 / $13,982.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.56 / $1,348.20 / $2,184.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,921.80 / $2,563.04 / $4,224.56
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,205.45 / $22,189.40 / $22,189.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,627.00 / $12,373.00 / $15,903.00