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Wisconsin rates for HCPCS 51555

Cystectomy Partial Complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,263.66 / $2,564.66 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,979.00 / $13,152.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,214.30 / $3,756.16 / $6,058.55
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,253.83 / $1,665.08 / $2,450.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,263.66 / $2,450.67 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,263.66 / $1,665.08 / $2,450.67
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,452.44 / $3,786.96 / $5,102.97
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,243.24 / $10,243.24 / $10,243.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00