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Wisconsin rates for HCPCS 50395

Intro Guide Pelvis&/Ureter W/Dilat Nfros Tract

Facilitymedian $603 · 10th–90th $447$4,6770%20%10th90th$603Professionalmedian $562 · 10th–90th $282$1,6980%20%10th90th$562$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $524.81 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $562.34 / $630.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $1,698.24 / $1,698.24
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $6,918.31 / $6,918.31
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,698.24 / $1,698.24