go back

Wisconsin rates for HCPCS 49220

Staging Celiotomy (Laparotomy) For Hodgkin'S Disease Or Lymphoma (Includes Splenectomy, Needle Or Open Biopsies Of Bo

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,342.91 / $2,737.88 / $4,416.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,767.48 / $3,679.74 / $4,181.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,459.78 / $3,459.78 / $3,459.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,624.00 / $7,624.00 / $7,624.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,205.63 / $4,205.63 / $4,205.63
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,459.78 / $3,459.78 / $3,459.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,526.63 / $7,624.00 / $7,624.00