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Wisconsin rates for HCPCS 45520

Perirectal Inj Sclerosing Solution Prolapse

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.26 / $139.82 / $203.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.98 / $198.59 / $766.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.00 / $167.99 / $678.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.96 / $524.57 / $1,196.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $200.50 / $419.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.11 / $182.06 / $537.14
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.68 / $603.90 / $1,196.56
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.05 / $489.38 / $827.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.63 / $302.52 / $686.79