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Wisconsin rates for HCPCS 50393

Intro Ureter Cath/Stnt Renal Pelvis Drg&/Njx

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $645.65 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $426.58 / $549.54
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $302.00 / $446.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $302.00 / $446.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $1,479.11 / $1,479.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $6,606.93 / $6,606.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,479.11 / $1,479.11