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Wisconsin rates for HCPCS 45505

Proctoplasty; for prolapse of mucous membrane

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.25 / $2,199.19 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,931.00 / $8,918.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,561.64 / $1,824.90 / $2,799.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.39 / $714.98 / $1,241.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.39 / $832.92 / $8,806.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.66 / $720.22 / $1,241.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.20 / $1,461.97 / $2,489.86
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.62 / $7,929.30 / $7,929.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,240.00 / $9,953.00 / $12,062.00