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Wisconsin rates for HCPCS 50544

Laparoscopy Surg Pyeloplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,245.58 / $4,497.97 / $26,443.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,139.00 / $15,055.00 / $22,609.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,161.13 / $3,694.03 / $5,958.34
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,245.58 / $1,711.01 / $5,939.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,245.58 / $5,939.61 / $16,779.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,245.58 / $1,711.01 / $5,939.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,406.94 / $3,716.70 / $5,042.79
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,189.40 / $22,189.40 / $22,189.40
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,105.03 / $2,105.03 / $2,105.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,984.00 / $12,373.00 / $15,090.00