go back

Wisconsin rates for HCPCS 49062

Drainage of extraperitoneal lymphocele to peritoneal cavity, open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,513.56 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $831.76 / $1,548.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,317.64 / $13,803.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,380.38 / $3,630.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,238.72 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,621.81 / $3,090.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $954.99 / $3,548.13
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,621.81 / $2,454.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $977.24 / $5,754.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,288.25 / $5,623.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,737.80 / $2,691.53
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $6,165.95 / $6,165.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $3,630.78 / $5,495.41
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,754.23 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,023.29 / $2,754.23