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Wisconsin rates for HCPCS 51700

Bldr Irrigation Smpl Lavage &/Instlj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.68 / $257.50 / $967.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.18 / $86.10 / $388.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$15.09 / $39.26 / $78.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.89 / $142.52 / $365.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.23 / $42.84 / $42.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.63 / $100.56 / $155.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.46 / $240.09 / $387.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.55 / $121.69 / $275.31
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.67 / $57.99 / $149.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.18 / $111.26 / $1,778.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.44 / $253.84 / $494.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.35 / $110.23 / $248.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.97 / $57.99 / $149.83
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.93 / $123.31 / $268.38
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.79 / $140.79 / $140.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.14 / $290.74 / $663.12
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.11 / $211.11 / $458.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.83 / $255.43 / $361.11