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Wisconsin rates for HCPCS 52318

Litholapaxy Comp/Lg > 2.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.00 / $954.20 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.75 / $493.24 / $1,573.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.65 / $1,231.66 / $3,188.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,192.18 / $1,393.16 / $2,247.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.89 / $1,449.31 / $1,908.42
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.00 / $650.51 / $2,720.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.00 / $2,720.75 / $8,783.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.57 / $1,267.70 / $3,185.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $635.66 / $1,108.89
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.50 / $650.51 / $2,720.75
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.30 / $1,407.19 / $1,918.59
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,388.90 / $9,388.90 / $9,388.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.85 / $2,304.90 / $3,856.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,501.00 / $2,740.43 / $2,740.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.77 / $1,356.95 / $2,245.01