go back

Wisconsin rates for HCPCS 50500

Nephrorrhaphy Suture Kidney Wound/Injury

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.41 / $2,529.76 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,183.35 / $1,226.41 / $4,178.32
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
$1,207.03 / $3,243.49 / $8,288.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,168.34 / $3,702.45 / $5,971.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,675.27 / $3,841.42 / $5,072.41
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.41 / $1,687.00 / $2,417.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.77 / $2,429.00 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,409.20 / $3,231.33 / $8,234.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $1,068.13 / $2,739.63
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.41 / $1,687.00 / $2,417.33
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,528.50 / $3,890.00 / $4,959.14
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,887.68 / $11,887.68 / $11,887.68
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,711.87 / $5,875.15 / $9,303.68
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,209.01 / $6,209.01 / $6,209.01
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,404.32 / $7,263.70 / $7,263.70
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
$1,295.98 / $3,256.10 / $5,845.69