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Wisconsin rates for HCPCS 54865

Exploration of epididymis, with or without biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $741.31 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $398.11 / $912.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,786.30 / $7,585.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $691.83 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,096.48 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,148.15 / $1,318.26
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $2,630.27 / $5,128.61
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $891.25 / $1,122.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $5,623.41 / $8,709.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $602.56 / $1,737.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $478.63
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $851.14 / $1,174.90
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $6,309.57 / $9,332.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $1,737.80 / $2,630.27
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,737.80 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $575.44 / $1,584.89