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Wisconsin rates for HCPCS 52290

Cystourethroscopy W/Ureteral Meatotomy Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.13 / $493.54 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.27 / $721.33 / $1,163.47
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.29 / $294.00 / $471.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.13 / $4,103.00 / $8,384.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.13 / $294.00 / $471.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.60 / $726.68 / $990.75
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,444.45 / $5,444.45 / $5,444.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,614.00 / $6,477.00 / $8,384.00