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Wisconsin rates for HCPCS 50526

Clsr Nephrovisceral Fistula W/Visc Rpr Thrc Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.60 / $3,088.49 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.69 / $1,530.60 / $4,861.62
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
$1,477.03 / $3,878.23 / $10,397.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,864.00 / $4,515.39 / $7,283.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,045.27 / $4,689.10 / $6,186.25
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,509.93 / $2,067.84 / $2,951.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.60 / $2,803.00 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,657.60 / $3,857.69 / $10,073.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.55 / $1,345.64 / $3,407.60
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.60 / $2,067.84 / $2,951.22
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.75 / $4,755.00 / $6,066.84
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,594.74 / $23,594.74 / $23,594.74
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.61 / $7,384.45 / $11,364.80
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,789.09 / $7,789.09 / $7,789.09
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,942.24 / $8,866.58 / $8,866.58
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
$1,772.27 / $4,306.13 / $7,124.04