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Wisconsin rates for HCPCS 51050

Cystolithotomy Cystotomy W/Rmvl Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.84 / $976.30 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,479.00 / $9,096.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,227.33 / $1,434.23 / $2,313.36
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.30 / $649.78 / $2,124.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.84 / $2,124.41 / $8,783.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.30 / $690.33 / $2,124.41
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.50 / $1,435.29 / $1,915.56
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,302.50 / $14,302.50 / $14,302.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,614.00 / $6,477.00 / $8,384.00