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Wisconsin rates for HCPCS 49500

Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible

Facilitymedian $7,586 · 10th–90th $550–$12,0230%10%10th90th$7,586Professionalmedian $562 · 10th–90th $380–$1,6980%10%10th90th$562$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $3,090.30 / $6,165.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $457.09 / $1,258.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,317.64 / $13,489.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $758.58 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,230.27 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $1,000.00 / $1,698.24
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $588.84 / $5,888.44
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $891.25 / $1,348.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $676.08 / $11,481.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $691.83 / $7,244.36
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $8,511.38 / $9,120.11
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $870.96 / $1,584.89
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $977.24 / $1,513.56
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $17,782.79 / $17,782.79
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $1,949.84 / $7,244.36
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,479.11 / $1,479.11
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,621.81 / $2,041.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $10,232.93 / $13,182.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $575.44 / $1,548.82