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Wisconsin rates for HCPCS 54420

Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.66 / $1,443.53 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.12 / $755.66 / $2,350.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $8,456.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.73 / $1,839.62 / $3,976.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,814.86 / $2,120.80 / $3,420.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.94 / $2,192.30 / $2,903.43
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.73 / $968.42 / $1,410.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.66 / $4,240.00 / $11,598.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.76 / $1,686.18 / $3,722.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.30 / $581.39 / $1,490.18
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.66 / $968.42 / $1,410.49
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,374.75 / $2,122.83 / $2,500.56
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,388.90 / $9,388.90 / $9,388.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.96 / $3,434.80 / $6,017.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,916.55 / $1,916.55 / $1,916.55
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,019.66 / $3,394.14 / $3,394.14
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
$799.01 / $1,975.65 / $3,265.40