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Wisconsin rates for HCPCS 54699

Unlisted Laparoscopy Procedure Testis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,461.00 / $6,461.00 / $17,823.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,975.00 / $13,919.00 / $24,485.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $12,855.00 / $15,743.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,217.00 / $11,608.00 / $13,980.00