go back

Wisconsin rates for HCPCS 52400

Cysto Inc Fulg/Rescj Urtl Valves/Folds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.07 / $975.80 / $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
$1,223.72 / $1,430.01 / $2,306.56
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.06 / $631.35 / $1,091.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.07 / $4,103.00 / $8,783.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.06 / $631.35 / $1,091.15
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.50 / $1,435.29 / $1,936.52
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
$4,614.00 / $6,477.00 / $8,384.00