go back

Wisconsin rates for HCPCS 54860

Epididymectomy; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $6,456.54 / $6,456.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,786.30 / $7,585.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,288.25 / $2,041.74
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $3,801.89 / $7,413.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $5,495.41 / $8,709.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $977.24 / $1,348.96
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $9,332.54 / $9,332.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11