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Wisconsin rates for HCPCS 50783

Ureteroneocystostomy W/Ureteral Tailoring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,132.49 / $2,299.01 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.19 / $1,157.08 / $3,750.87
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
$1,107.13 / $2,869.50 / $7,653.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,883.58 / $3,369.70 / $5,435.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,522.45 / $3,492.05 / $4,612.84
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.96 / $1,488.56 / $2,241.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,132.49 / $2,429.00 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.61 / $3,023.63 / $7,582.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $945.55 / $2,430.92
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.96 / $1,488.56 / $2,241.21
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,190.50 / $3,382.47 / $4,566.60
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,162.16 / $9,162.16 / $9,162.16
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,556.17 / $5,497.50 / $8,473.45
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,732.94 / $5,732.94 / $5,732.94
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,356.11 / $6,603.05 / $6,603.05
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
$1,237.01 / $3,204.73 / $5,397.98