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Wisconsin rates for HCPCS 52630

Trurl Rescj Residual/Regrowth Obstr Prstate Tiss

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.40 / $841.43 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,720.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,060.61 / $1,239.42 / $1,999.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.37 / $551.66 / $3,906.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.40 / $3,906.49 / $14,978.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.37 / $593.36 / $3,906.49
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.15 / $1,235.55 / $1,622.96
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,302.50 / $14,302.50 / $14,302.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,217.00 / $11,608.00 / $13,980.00