go back

Wisconsin rates for HCPCS 50948

Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,570.40 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $16,982.44 / $29,512.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,801.89 / $6,025.60
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $7,079.46 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $9,772.37 / $17,378.01
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,884.03 / $4,897.79
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