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Wisconsin rates for HCPCS 54163

Repair Incomplete Circumcision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.83 / $456.03 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.72 / $673.94 / $1,087.04
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.95 / $300.19 / $670.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.94 / $3,193.00 / $8,384.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.95 / $300.19 / $670.76
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.90 / $668.46 / $787.41
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,444.45 / $5,444.45 / $5,444.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,614.00 / $6,477.00 / $8,384.00