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Wisconsin rates for HCPCS 54125

Amputation Penis Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.62 / $1,693.28 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,979.00 / $7,393.00 / $11,448.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.92 / $2,471.46 / $3,986.38
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$827.83 / $1,119.51 / $1,805.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$844.90 / $2,100.00 / $6,150.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.62 / $1,179.70 / $1,805.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.50 / $2,499.21 / $2,943.93
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,797.50 / $4,797.50 / $4,797.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,883.00 / $3,827.00 / $6,564.00