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Wisconsin rates for HCPCS 53230

Excision of urethral diverticulum (separate procedure); female

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,258.93 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $17,378.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,819.70 / $2,951.21
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $3,019.95 / $5,370.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $6,918.31 / $12,882.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,412.54 / $2,398.83
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
$6,606.93 / $10,232.93 / $14,125.38