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Wisconsin rates for HCPCS 50436

Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, with postprocedure tube placement, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $309.03 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,570.88 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $446.68 / $707.95
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $2,630.27 / $5,128.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $5,623.41 / $8,709.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $323.59 / $478.63
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $6,309.57 / $9,332.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11