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Wisconsin rates for HCPCS 50728

Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,445.44 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $724.44 / $1,737.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,317.64 / $14,125.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,348.96 / $3,467.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,137.96 / $3,388.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $2,238.72 / $2,511.89
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $6,918.31 / $13,489.63
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,737.80 / $2,137.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $2,818.38 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,288.25 / $5,623.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $933.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,621.81 / $2,754.23
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $5,623.41 / $5,623.41
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $3,548.13 / $5,623.41
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,715.35
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $4,168.69 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,148.15 / $3,090.30