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Wisconsin rates for HCPCS 49525

Repair inguinal hernia, sliding, any age

Facilitymedian $7,762 · 10th–90th $933–$12,0230%10%10th90th$7,762Professionalmedian $1,288 · 10th–90th $724–$2,0420%10%10th90th$1,288$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$616.60 / $1,148.15 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,317.64 / $13,182.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,659.59 / $2,691.53
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$97.72 / $97.72 / $97.72
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $851.14 / $5,888.44
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $912.01 / $10,471.29
Medica
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$912.01 / $912.01 / $912.01
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $8,511.38 / $9,120.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,288.25 / $2,041.74
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $9,549.93 / $9,549.93
Quartz
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$97.72 / $645.65 / $954.99
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,041.74 / $2,041.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $10,000.00 / $12,022.64