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Wisconsin rates for HCPCS 51865

Cystorrhaphy Sutr Bldr Wnd Inj/Rpt Complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.11 / $1,822.50 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,169.00 / $8,216.00 / $11,863.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,293.35 / $2,679.96 / $4,322.68
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.11 / $1,223.88 / $3,414.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.11 / $3,414.33 / $11,598.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.11 / $1,304.76 / $3,414.33
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,745.25 / $2,694.93 / $3,595.24
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,300.58 / $7,300.58 / $7,300.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,073.00 / $9,837.00 / $12,062.00