go back

Wisconsin rates for HCPCS 53450

Urethromeatoplasty W/Mucosal Advancement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.16 / $848.18 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $8,456.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,067.83 / $1,247.83 / $2,012.72
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.97 / $485.74 / $810.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.67 / $4,240.00 / $11,598.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.97 / $485.74 / $810.49
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.65 / $1,245.58 / $1,657.09
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,388.90 / $9,388.90 / $9,388.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00