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Wisconsin rates for HCPCS 52300

Cysto W/Rescj/Fulg Orthopic Ureterocele Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.32 / $565.99 / $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
$708.28 / $827.68 / $1,335.02
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.70 / $366.85 / $549.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.32 / $4,103.00 / $8,783.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.32 / $384.27 / $549.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.50 / $833.07 / $1,137.09
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
$4,918.00 / $6,477.00 / $8,384.00