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Wisconsin rates for HCPCS 54660

Insertion of testicular prosthesis (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $3,090.30 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $398.11 / $1,202.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $10,232.93 / $17,378.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $691.83 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,096.48 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,148.15 / $1,318.26
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $3,019.95 / $5,370.32
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $891.25 / $1,122.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $5,495.41 / $8,709.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $645.65 / $2,691.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $478.63
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $851.14 / $1,174.90
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $19,498.45 / $19,498.45
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $1,737.80 / $2,630.27
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,737.80 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $562.34 / $1,548.82