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Wisconsin rates for HCPCS 54164

Frenulotomy Penis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.94 / $405.90 / $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
$513.64 / $600.23 / $968.15
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.44 / $266.36 / $548.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.09 / $548.71 / $8,384.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.44 / $266.36 / $548.71
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.45 / $595.19 / $701.10
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