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Wisconsin rates for HCPCS 50135

Pyelotomy Complicated

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,293.00 / $10,261.00 / $17,436.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,869.17 / $3,352.85 / $5,408.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,164.48 / $3,474.43 / $4,558.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,727.00 / $8,711.23 / $8,711.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $58.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,469.58 / $4,543.62 / $4,543.62
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,634.55 / $4,634.55 / $4,634.55
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,676.13 / $8,711.23 / $8,711.23