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Wisconsin rates for HCPCS 49587

Rpr Umbilical Hernia Age 5 Yrs/> Incarcerated

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,057.00 / $7,773.00 / $13,152.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,195.79 / $1,397.37 / $2,253.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.09 / $1,811.11 / $2,058.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,444.70 / $8,444.70 / $8,444.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,287.91 / $4,287.91 / $4,287.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,444.70 / $8,444.70 / $8,444.70
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,073.28 / $4,287.91 / $4,287.91