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Wisconsin rates for HCPCS 53080

Drg Perineal Urinary Xtrvasation Uncomp Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.79 / $871.18 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.48 / $449.17 / $1,405.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.00 / $3,163.00 / $5,768.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.06 / $1,096.64 / $2,873.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.47 / $1,283.64 / $2,070.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.91 / $1,322.34 / $1,766.77
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.19 / $499.34 / $832.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.91 / $1,706.67 / $8,384.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.02 / $1,126.46 / $2,829.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.92 / $411.70 / $941.20
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.19 / $499.34 / $832.46
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.10 / $1,278.71 / $1,703.99
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,979.24 / $1,979.24 / $1,979.24
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.28 / $2,048.10 / $3,301.51
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,152.23 / $2,152.23 / $2,152.23
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,006.98 / $2,500.44 / $2,500.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,614.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.60 / $1,361.03 / $2,034.26