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Wisconsin rates for HCPCS 53425

Urtp 2-Stg Rcnstj/Rpr Prostat/Urethra 2nd Stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.55 / $1,913.49 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.42 / $961.58 / $3,116.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,720.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.79 / $2,435.83 / $6,370.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.58 / $2,805.27 / $4,524.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.16 / $2,906.35 / $3,841.17
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.48 / $1,239.73 / $1,866.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.55 / $4,240.00 / $12,631.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.49 / $2,512.76 / $6,296.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.69 / $613.81 / $1,964.20
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.55 / $1,287.71 / $1,866.18
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,823.90 / $2,816.38 / $3,792.39
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,302.50 / $14,302.50 / $14,302.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,295.17 / $4,568.64 / $7,796.51
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,772.18 / $4,772.18 / $4,772.18
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,450.46 / $5,495.58 / $5,495.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.22 / $2,793.31 / $4,492.64