go back

Wisconsin rates for HCPCS 54352

Revision Prior Hypospadias Repair Dsj&Exc Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,512.46 / $2,880.74 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,423.06 / $1,512.46 / $4,713.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,720.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,390.93 / $3,690.51 / $8,006.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,613.49 / $4,222.64 / $6,810.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,907.69 / $4,377.38 / $5,778.22
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,408.36 / $1,947.30 / $2,807.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,512.46 / $5,266.00 / $14,978.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,649.44 / $3,396.35 / $7,760.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.18 / $1,173.90 / $3,016.32
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,408.36 / $1,947.30 / $2,807.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,745.60 / $4,239.63 / $4,994.04
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,302.50 / $14,302.50 / $14,302.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,950.72 / $6,906.70 / $11,605.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,841.57 / $3,841.57 / $3,841.57
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,030.48 / $6,777.13 / $6,777.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,608.00 / $13,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,649.44 / $4,708.67 / $6,556.79