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Wisconsin rates for HCPCS 50693

Plmt Urtrl Stent Prq Pre-Existing Nfros Tract

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.58 / $1,043.54 / $6,461.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,668.22 / $3,118.02 / $5,029.26
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.58 / $416.68 / $1,464.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.02 / $1,464.82 / $11,598.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.58 / $416.68 / $1,464.82
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.45 / $921.98 / $3,369.56
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,742.78 / $1,742.78 / $1,742.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00