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Wisconsin rates for HCPCS 53855

Insertion of a temporary prostatic urethral stent, including urethral measurement

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $575.44 / $954.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $741.31 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $288.40 / $2,398.83
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $275.42 / $1,862.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,348.96 / $3,630.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $239.88
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $724.44 / $2,238.72
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $1,148.15 / $4,466.84
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $3,548.13 / $4,570.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $630.96 / $2,691.53