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Wisconsin rates for HCPCS 51880

Closure Cystostomy Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.96 / $954.90 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,205.70 / $1,408.95 / $2,272.59
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.84 / $622.38 / $912.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.96 / $4,103.00 / $8,783.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.96 / $622.38 / $912.46
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.95 / $1,408.19 / $1,879.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,388.90 / $9,388.90 / $9,388.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,614.00 / $6,477.00 / $8,384.00