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Wisconsin rates for HCPCS 54105

Biopsy of penis; deep structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.35 / $569.84 / $1,894.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.41 / $858.22 / $1,384.28
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.70 / $303.91 / $544.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.11 / $429.81 / $8,103.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.00 / $300.81 / $544.51
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.42 / $665.52 / $934.21
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.12 / $999.12 / $999.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,614.00 / $6,477.00 / $8,384.00