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Wisconsin rates for HCPCS 50940

Deligation Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.93 / $1,818.56 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.42 / $912.75 / $2,955.88
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
$870.84 / $2,267.56 / $6,040.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,283.44 / $2,668.38 / $4,304.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,204.29 / $2,761.18 / $3,655.06
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$889.08 / $1,178.99 / $1,775.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.93 / $1,805.50 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.93 / $2,379.44 / $5,966.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.30 / $737.50 / $1,905.22
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.93 / $1,219.18 / $1,775.21
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,732.25 / $2,674.86 / $3,593.55
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,239.54 / $7,239.54 / $7,239.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.47 / $4,326.25 / $6,605.44
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,524.78 / $4,524.78 / $4,524.78
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,220.88 / $5,221.07 / $5,221.07
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
$1,032.05 / $3,120.44 / $4,792.10