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Wisconsin rates for HCPCS 52214

Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $2,754.23 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $660.69 / $2,187.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,786.30 / $7,585.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $891.25 / $2,818.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,344.23 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $616.60 / $2,754.23
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $1,096.48 / $4,168.69
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $575.44 / $2,089.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $1,412.54 / $8,317.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,412.54 / $8,709.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $602.56
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $812.83 / $2,511.89
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $9,332.54 / $9,332.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $1,513.56 / $8,912.51
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,348.96 / $4,466.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $741.31 / $2,691.53