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Wisconsin rates for HCPCS 50972

Ndsc Ureterotomy Urtrl Cathj W/Wo Dilat Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.83 / $722.70 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.79 / $367.24 / $1,191.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.00 / $6,787.00 / $10,517.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.61 / $882.71 / $2,414.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.92 / $1,055.14 / $1,701.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.08 / $1,096.69 / $1,445.99
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.00 / $385.44 / $690.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.56 / $1,957.00 / $4,793.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.34 / $959.53 / $2,411.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $480.73 / $862.07
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.00 / $385.44 / $690.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.65 / $1,064.93 / $1,452.53
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,388.90 / $9,388.90 / $9,388.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.72 / $1,744.60 / $2,631.76
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.74 / $1,808.74 / $1,808.74
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,702.12 / $2,073.67 / $2,073.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,367.00 / $3,088.30 / $4,295.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.11 / $1,025.08 / $1,700.83