go back

Wisconsin rates for HCPCS 50695

Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.26 / $1,403.69 / $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
$3,581.05 / $4,184.74 / $6,749.84
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.26 / $699.00 / $1,974.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.91 / $1,974.71 / $11,598.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.26 / $699.00 / $1,974.71
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.06 / $1,403.54 / $4,550.67
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,722.16 / $2,722.16 / $2,722.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,073.00 / $9,837.00 / $12,062.00