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Wisconsin rates for HCPCS 54430

Corpora Cavernosa-Corpus Spongiosum Shunt Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.05 / $1,315.96 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,979.00 / $13,152.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,655.36 / $1,934.42 / $3,120.14
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.36 / $880.87 / $1,287.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.05 / $1,716.00 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.05 / $880.87 / $1,287.05
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.20 / $1,935.13 / $2,279.46
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,991.64 / $2,991.64 / $2,991.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00