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Wisconsin rates for HCPCS 54326

1-Stage Distal Hypospadias Repair (With Or Without Chordee Or Circumcision); With Urethroplasty By Local Skin Flaps And Mobilization Of Urethra

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $1,174.90 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,047.13 / $2,344.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,786.30 / $8,709.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,778.28 / $4,265.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,818.38 / $4,466.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $3,019.95 / $3,388.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,981.07 / $7,413.10
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,344.23 / $2,884.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $6,918.31 / $12,302.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,737.80 / $8,317.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,258.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $2,137.96 / $2,951.21
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $9,332.54 / $9,332.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $4,570.88 / $8,317.64
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $4,570.88 / $4,570.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,232.93 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,548.82 / $4,073.80