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Wisconsin rates for HCPCS 53415

Urtp Transpubic/Prnl 1 Stg Rcnstj/Rpr Urt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.74 / $2,304.81 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $10,201.00 / $15,735.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,891.69 / $3,379.17 / $5,450.49
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.74 / $1,553.05 / $5,415.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.74 / $5,266.00 / $14,978.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.74 / $1,553.05 / $5,415.70
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,196.35 / $3,391.50 / $4,579.01
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,249.68 / $5,249.68 / $5,249.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,217.00 / $11,608.00 / $13,980.00