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Wisconsin rates for HCPCS 50785

Ureteroneocystostomy; with vesico-psoas hitch or bladder flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $2,454.71 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,317.64 / $14,125.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,630.78 / $5,754.40
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $6,760.83 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $2,818.38 / $7,943.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,754.23 / $4,677.35
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $9,549.93 / $9,549.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45