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Wisconsin rates for HCPCS 54438

Replantation Penis Comp Amputation W/Ureth Rep

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,123.00 / $17,925.00 / $25,614.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,422.45 / $3,999.41 / $6,450.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,581.88 / $4,144.21 / $5,437.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,923.04 / $9,923.04 / $9,923.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $58.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,944.79 / $4,175.93 / $4,176.06
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,272.80 / $5,272.80 / $5,272.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,577.57 / $6,523.35 / $9,923.04