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Wisconsin rates for HCPCS 54332

1 Stage Prox Penile/Penoscrotal Hypospadias Rpr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.92 / $2,066.29 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.02 / $1,082.92 / $3,718.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $8,139.00 / $11,136.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.54 / $2,629.84 / $5,978.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,592.52 / $3,029.57 / $4,886.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,368.34 / $3,137.53 / $4,148.97
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,010.19 / $1,393.76 / $2,015.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.92 / $4,240.00 / $11,598.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.59 / $2,429.88 / $5,355.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $845.47 / $2,158.34
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.92 / $1,393.76 / $2,015.52
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.50 / $3,041.21 / $3,582.37
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,159.60 / $8,159.60 / $8,159.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,398.18 / $4,938.64 / $8,940.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,748.93 / $2,748.93 / $2,748.93
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,268.53 / $4,857.51 / $4,857.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,073.00 / $9,837.00 / $12,062.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.81 / $3,280.30 / $4,697.28