go back

Wisconsin rates for HCPCS 54860

Epididymectomy Unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.03 / $867.80 / $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
$1,093.96 / $1,278.38 / $2,061.98
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.03 / $604.61 / $1,496.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.03 / $2,506.50 / $8,783.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.03 / $604.61 / $1,496.31
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.85 / $1,273.70 / $1,500.34
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 / $6,477.00 / $8,384.00