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Wisconsin rates for HCPCS 53210

Urethrectomy Tot W/Cystost Female

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.66 / $1,599.80 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $8,139.00 / $11,136.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,998.68 / $2,335.62 / $3,767.27
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.12 / $1,033.63 / $1,558.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.66 / $4,240.00 / $11,598.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.66 / $1,033.63 / $1,558.92
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,529.45 / $2,361.71 / $3,118.61
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
$6,073.00 / $9,837.00 / $12,062.00