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Wisconsin rates for HCPCS 52290

Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $489.78 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,786.30 / $7,585.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $724.44 / $1,148.15
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $3,019.95 / $5,370.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $5,248.07 / $8,317.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $549.54 / $933.25
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $5,495.41 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11