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Wisconsin rates for HCPCS 50065

Nephrolithotomy Secondary Surg Operj Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,213.32 / $2,462.80 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.63 / $1,239.86 / $4,020.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $10,705.54 / $18,141.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.95 / $3,074.30 / $8,202.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,087.24 / $3,607.68 / $5,819.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.93 / $3,740.08 / $4,940.70
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.04 / $1,594.68 / $2,400.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,213.32 / $2,456.19 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,366.74 / $3,214.31 / $8,130.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $994.61 / $2,547.99
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,213.32 / $1,661.73 / $2,400.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,347.15 / $3,624.36 / $4,896.49
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,214.80 / $11,214.80 / $11,214.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.69 / $5,893.95 / $9,503.76
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,144.24 / $6,144.24 / $6,144.24
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,741.14 / $7,072.04 / $7,072.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,366.74 / $3,911.00 / $5,783.24