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Wisconsin rates for HCPCS 50561

Renal Ndsc Nephros/Pyelostomy Rmvl Fb/Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.52 / $983.84 / $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
$1,239.04 / $1,447.92 / $2,335.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.52 / $542.14 / $940.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.42 / $779.02 / $8,384.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.52 / $542.14 / $940.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.16 / $1,232.69 / $1,700.15
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,631.84 / $3,631.84 / $3,631.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,614.00 / $6,477.00 / $8,384.00