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Wisconsin rates for HCPCS 50947

Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $9,772.37 / $21,877.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $12,882.50 / $22,387.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $4,168.69 / $6,606.93
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $7,079.46 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $9,772.37 / $17,378.01
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $3,090.30 / $5,370.32
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,620.87 / $27,542.29 / $27,542.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $13,803.84 / $17,782.79