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Wisconsin rates for HCPCS 51925

Clsr Vesicouterine Fistula W/Hysterectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.45 / $2,171.32 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.44 / $1,113.69 / $3,508.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,084.00 / $12,066.00 / $20,567.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.57 / $2,760.43 / $7,368.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,762.83 / $3,228.59 / $5,207.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,437.89 / $3,331.53 / $4,373.75
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.53 / $1,400.80 / $2,074.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.45 / $2,429.00 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,220.15 / $2,811.90 / $6,725.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.69 / $718.15 / $2,292.05
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.45 / $1,406.40 / $2,074.81
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,100.15 / $3,231.00 / $4,050.48
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,819.44 / $8,819.44 / $8,819.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,484.63 / $5,112.55 / $7,980.88
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,519.98 / $5,519.98 / $5,519.98
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,968.16 / $6,299.49 / $6,299.49
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
$1,192.80 / $2,919.77 / $5,102.84