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Wisconsin rates for HCPCS 50075

Nephrolithotomy Rmvl Large Staghorn Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,462.01 / $2,965.57 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,370.34 / $1,493.46 / $4,845.63
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
$1,430.39 / $3,704.43 / $9,885.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,717.12 / $4,343.75 / $7,006.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,963.87 / $4,505.71 / $5,947.16
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.83 / $1,919.88 / $2,833.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,462.01 / $2,803.00 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,692.31 / $3,909.40 / $9,796.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $1,212.24 / $3,089.41
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,462.01 / $1,919.88 / $2,833.76
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,827.50 / $4,366.10 / $5,900.33
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,513.44 / $13,513.44 / $13,513.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,007.89 / $7,108.00 / $10,796.64
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,405.36 / $7,405.36 / $7,405.36
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,919.41 / $8,519.83 / $8,519.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,998.00 / $4,316.80 / $19,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,684.43 / $4,172.35 / $6,968.63