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Wisconsin rates for HCPCS 50290

Excision Perinephric Cyst

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.64 / $1,840.86 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.42 / $923.77 / $2,991.68
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
$882.28 / $2,340.85 / $6,114.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,311.37 / $2,701.02 / $4,356.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.06 / $2,796.02 / $3,699.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.98 / $1,192.74 / $1,759.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.64 / $1,821.49 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.84 / $2,409.77 / $6,042.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.30 / $753.35 / $1,934.86
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.64 / $1,223.55 / $1,759.04
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,753.70 / $2,707.98 / $3,639.07
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,381.44 / $8,381.44 / $8,381.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.00 / $4,381.39 / $6,690.08
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,580.62 / $4,580.62 / $4,580.62
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,272.01 / $5,286.95 / $5,286.95
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
$936.16 / $2,572.19 / $4,316.74