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Wisconsin rates for HCPCS 53240

Marsupialization Urtl Diverticulum Male/Female

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.14 / $879.14 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.36 / $439.67 / $1,419.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $8,456.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.35 / $1,111.20 / $2,902.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,107.48 / $1,294.17 / $2,087.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.17 / $1,334.52 / $1,773.84
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.73 / $504.43 / $840.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.80 / $4,240.00 / $11,598.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.99 / $1,137.61 / $2,861.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.73 / $391.91 / $963.34
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.73 / $504.43 / $840.07
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.90 / $1,290.76 / $1,723.11
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,388.90 / $9,388.90 / $9,388.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.70 / $2,068.40 / $3,183.68
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,174.48 / $2,174.48 / $2,174.48
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,027.13 / $2,523.38 / $2,523.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,882.00 / $12,631.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.58 / $1,216.74 / $2,055.00