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Wisconsin rates for HCPCS 45130

Exc Rct Procidentia W/Anast Perineal Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,171.97 / $2,179.17 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,929.10 / $13,152.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.31 / $3,202.26 / $4,912.35
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$120.64 / $120.64 / $120.64
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.90 / $1,355.93 / $2,126.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.90 / $1,470.07 / $4,821.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$492.14 / $492.14 / $492.14
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,019.63 / $1,331.52 / $2,126.94
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,950.60 / $2,601.44 / $4,411.24
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,229.08 / $7,537.44 / $7,537.44
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$120.64 / $492.14 / $492.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $6,032.00 / $19,003.00