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Wisconsin rates for HCPCS 54438

Replantation, penis, complete amputation including urethral repair

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $18,197.01 / $30,902.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $3,981.07 / $6,309.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $4,265.80 / $4,786.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $8,317.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,456.54 / $8,317.64 / $8,317.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $17,782.79 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $4,786.30 / $4,786.30