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Wisconsin rates for HCPCS 50553

Renal Ndsc Nephrost W/Ureteral Cath W/Wo Dila

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.70 / $800.57 / $1,894.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,479.00 / $9,096.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,009.25 / $1,179.39 / $1,902.32
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.70 / $426.97 / $764.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.70 / $635.29 / $8,384.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.35 / $426.97 / $764.99
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.17 / $983.41 / $1,382.11
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,892.80 / $2,892.80 / $2,892.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,614.00 / $6,477.00 / $8,384.00