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Wisconsin rates for HCPCS 51020

Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $977.24 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $489.78 / $1,174.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,786.30 / $7,585.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $891.25 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,445.44 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,513.56 / $1,698.24
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $4,677.35 / $8,912.51
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,174.90 / $1,445.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $5,495.41 / $8,709.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $831.76 / $8,317.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $630.96
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,096.48 / $1,862.09
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $9,332.54 / $9,332.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $2,290.87 / $8,317.64
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,398.83
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,818.38 / $3,467.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $741.31 / $1,995.26