go back

Wisconsin rates for HCPCS 54411

Rmvl & Rplcmt Nfltbl Penile Prosth Infected Fiel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,105.21 / $2,109.17 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.00 / $15,738.00 / $23,778.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,648.39 / $3,094.86 / $4,991.89
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.15 / $1,412.32 / $2,015.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,049.65 / $1,449.00 / $2,090.40
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.15 / $1,412.32 / $2,015.43
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,009.15 / $3,102.44 / $3,654.49
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88,258.85 / $88,258.85 / $88,258.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.00 / $1,423.00 / $2,202.90