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Wisconsin rates for HCPCS 53899

Unlisted Procedure Urinary System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,613.95 / $1,894.00 / $17,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.56 / $1,316.51 / $2,903.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.00 / $13,919.00 / $24,485.00
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.04 / $251.04 / $251.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.04 / $1,368.00 / $2,090.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,517.00 / $3,517.00 / $3,517.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.04 / $251.04 / $251.04
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,517.00 / $3,517.00 / $3,517.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90