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Wisconsin rates for HCPCS 50080

Perq Nl/Pl Lithotrp Simple Up To 2 Cm 1 Location

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.52 / $2,544.71 / $16,396.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,287.00 / $15,141.00 / $22,609.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,793.23 / $2,095.53 / $3,380.02
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.45 / $1,017.16 / $3,468.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.52 / $3,468.91 / $15,743.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.45 / $1,017.16 / $3,468.91
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.45 / $2,100.73 / $3,021.45
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,110.45 / $27,110.45 / $27,110.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,608.00 / $13,980.00