go back

Wisconsin rates for HCPCS 54522

Orchiectomy Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.04 / $1,209.33 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.50 / $633.04 / $2,017.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.30 / $1,464.37 / $3,344.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,521.09 / $1,777.51 / $2,867.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.84 / $1,836.58 / $2,435.27
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.23 / $811.03 / $1,155.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.04 / $4,103.00 / $8,783.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.47 / $1,412.88 / $3,119.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.30 / $485.00 / $1,224.36
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.23 / $811.03 / $1,155.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.80 / $1,778.56 / $2,095.04
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
$818.45 / $2,874.85 / $4,388.72
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,604.27 / $1,604.27 / $1,604.27
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,691.99 / $2,843.43 / $2,843.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,614.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.47 / $1,661.09 / $2,735.85