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Wisconsin rates for HCPCS 53215

Urethrectomy, total, including cystostomy; male

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,905.46 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $10,232.93 / $17,378.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,754.23 / $4,466.84
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $5,128.61 / $9,549.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $5,495.41 / $8,709.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $2,089.30 / $3,630.78
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $14,454.40 / $14,454.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11