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Wisconsin rates for HCPCS 50694

Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.89 / $1,170.11 / $6,461.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,986.31 / $3,489.74 / $5,628.83
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.89 / $545.28 / $1,644.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.25 / $1,644.95 / $11,598.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.89 / $545.28 / $1,644.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.14 / $1,127.45 / $3,792.82
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,122.67 / $2,122.67 / $2,122.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,073.00 / $9,837.00 / $12,062.00