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Wisconsin rates for HCPCS 51575

Cystectomy W/Bi Pelvic Lymphadenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,823.39 / $3,688.97 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,708.06 / $1,863.77 / $6,047.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $10,705.54 / $18,141.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,789.31 / $4,731.71 / $12,334.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,621.84 / $5,400.99 / $8,711.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,442.91 / $5,605.58 / $7,393.15
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,823.39 / $2,505.03 / $7,523.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,823.39 / $3,364.00 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,107.98 / $4,885.72 / $12,234.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.18 / $1,484.44 / $3,849.05
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,823.39 / $2,505.03 / $7,523.24
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,518.45 / $5,433.03 / $7,368.35
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,916.83 / $18,916.83 / $18,916.83
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,498.03 / $8,883.15 / $24,885.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,240.04 / $9,240.04 / $9,240.04
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,635.87 / $10,599.48 / $10,599.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,107.98 / $5,895.78 / $8,691.12