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Wisconsin rates for HCPCS 52342

Cysto W/Tx Ureteropelvic Junction Stricture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.91 / $624.65 / $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
$782.17 / $914.03 / $1,474.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.38 / $403.44 / $830.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.91 / $4,103.00 / $8,783.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.38 / $403.44 / $830.53
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.04 / $920.39 / $1,252.44
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