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Wisconsin rates for HCPCS 54000

Slitting Prepuce Dorsal/Lateral Spx Newborn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.82 / $339.23 / $3,119.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.92 / $163.97 / $455.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.26 / $370.06 / $806.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.65 / $514.92 / $830.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.06 / $393.13 / $591.54
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.50 / $178.31 / $268.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.00 / $221.67 / $8,384.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.00 / $487.07 / $833.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.56 / $215.88 / $374.37
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.50 / $178.31 / $268.51
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.56 / $379.61 / $554.23
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.32 / $524.32 / $524.32
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.50 / $700.61 / $1,580.98
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.67 / $301.67 / $453.43
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.19 / $543.71 / $805.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.13 / $456.32 / $692.74