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Wisconsin rates for HCPCS 54830

Excision Local Lesion Epididymis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.96 / $772.61 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.01 / $1,139.38 / $1,837.78
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.96 / $539.10 / $1,125.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.96 / $3,193.00 / $8,783.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.96 / $539.10 / $1,125.21
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.50 / $1,134.18 / $1,336.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,388.90 / $9,388.90 / $9,388.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $7,611.00 / $9,134.00