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Wisconsin rates for HCPCS 54840

Excision of spermatocele, with or without epididymectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $3,548.13 / $7,244.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,897.79 / $7,585.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $977.24 / $1,584.89
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $4,466.84 / $8,912.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $5,248.07 / $8,317.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $758.58 / $1,047.13
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $5,495.41 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11