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Wisconsin rates for HCPCS 49600

Rpr Small Omphalocele W/Primary Closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$780.55 / $2,597.56 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.48 / $780.55 / $1,457.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,169.00 / $8,139.00 / $10,914.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.83 / $1,601.13 / $4,120.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,829.27 / $2,137.65 / $3,279.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.63 / $2,428.44 / $2,909.43
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.49 / $913.24 / $1,438.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.49 / $989.10 / $9,558.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.12 / $1,689.63 / $5,341.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $657.69 / $1,581.69
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.01 / $906.88 / $1,438.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.80 / $1,786.85 / $2,943.32
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$838.01 / $9,558.29 / $9,558.29
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.29 / $3,446.75 / $5,341.28
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,597.92 / $2,597.92 / $2,597.92
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,311.23 / $3,552.44 / $3,552.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,953.00 / $12,062.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.20 / $1,371.26 / $3,110.69