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Wisconsin rates for HCPCS 54640

Orchiopexy Inguinal Or Scrotal Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.17 / $888.26 / $13,528.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $8,139.00 / $11,136.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,109.28 / $1,296.28 / $2,090.85
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.17 / $655.80 / $2,482.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.17 / $2,482.61 / $11,598.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.17 / $710.63 / $2,482.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.90 / $1,310.83 / $1,544.08
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,558.29 / $9,558.29 / $9,558.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00