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Wisconsin rates for HCPCS 50725

Urtrolss Retrocaval Urtr W/Reanast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,107.71 / $2,248.88 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.05 / $1,137.50 / $3,666.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,979.00 / $13,152.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.27 / $2,869.65 / $7,481.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,820.51 / $3,295.98 / $5,316.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,489.25 / $3,415.71 / $4,514.06
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,099.45 / $1,456.53 / $2,355.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,107.71 / $2,429.00 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.70 / $2,957.05 / $7,411.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $900.04 / $2,291.33
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,107.71 / $1,515.18 / $2,355.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,143.05 / $3,309.20 / $4,463.83
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,240.64 / $10,240.64 / $10,240.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,522.15 / $5,376.45 / $8,473.45
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,604.80 / $5,604.80 / $5,604.80
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,236.01 / $6,458.69 / $6,458.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.49 / $3,155.25 / $5,279.89