go back

Wisconsin rates for HCPCS 53215

Urethrectomy Tot W/Cystost Male

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.03 / $1,896.55 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,479.00 / $9,096.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,378.06 / $2,778.95 / $4,482.34
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.20 / $1,229.39 / $1,849.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.03 / $4,103.00 / $8,783.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.03 / $1,265.78 / $1,849.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.30 / $2,792.29 / $3,756.40
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
$4,918.00 / $6,754.00 / $8,384.00