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Wisconsin rates for HCPCS 51525

Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,737.80 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,317.64 / $13,489.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,570.40 / $4,073.80
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $6,918.31 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $6,309.57 / $12,302.69
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,949.84 / $3,311.31
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $6,918.31 / $6,918.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $10,232.93 / $12,589.25