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Wisconsin rates for HCPCS 50436

Perq Dilation Xst Trc Endourologic Px W/Img

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.93 / $308.23 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.00 / $3,496.00 / $5,962.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.37 / $443.33 / $715.07
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.93 / $175.42 / $294.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.69 / $5,496.00 / $8,783.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.93 / $175.42 / $294.52
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.98 / $355.61 / $530.85
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,388.90 / $9,388.90 / $9,388.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00