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Wisconsin rates for HCPCS 50706

Balloon Dilat Ureteral Stricture W/Img Gid Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.99 / $879.14 / $2,972.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,241.98 / $2,619.94 / $4,225.87
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.99 / $374.52 / $1,321.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.37 / $1,198.00 / $1,813.58
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.99 / $374.52 / $1,321.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.33 / $864.36 / $2,841.07
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,472.11 / $1,472.11 / $1,472.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90