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Wisconsin rates for HCPCS 50820

Ureteroileal Conduit W/Intestine Anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.31 / $2,671.11 / $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
$3,349.46 / $3,914.11 / $6,313.32
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.31 / $1,801.41 / $6,369.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.31 / $2,747.50 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.31 / $1,910.87 / $6,369.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,553.85 / $3,943.54 / $5,303.71
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,185.20 / $12,185.20 / $12,185.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00