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Wisconsin rates for HCPCS 50760

Ureteroureterostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,126.63 / $2,278.53 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,979.00 / $13,152.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,860.15 / $3,342.32 / $5,391.04
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,126.63 / $1,529.08 / $3,969.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,126.63 / $2,429.00 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,126.63 / $1,547.03 / $3,969.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,199.60 / $3,396.52 / $4,494.92
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,173.92 / $9,173.92 / $9,173.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00