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Wisconsin rates for HCPCS 54865

Exploration Epididymis W/Wo Biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.90 / $748.37 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.22 / $389.90 / $1,202.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.75 / $941.41 / $2,027.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$943.47 / $1,102.52 / $1,778.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.59 / $1,134.86 / $1,511.84
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.87 / $456.18 / $715.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.90 / $5,496.00 / $8,783.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.35 / $806.94 / $1,788.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.73 / $339.92 / $819.66
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.87 / $456.18 / $715.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.75 / $1,099.05 / $1,294.61
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,388.90 / $9,388.90 / $9,388.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.74 / $1,749.65 / $2,703.68
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.88 / $983.88 / $983.88
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.06 / $1,757.01 / $1,757.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,614.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.78 / $1,166.61 / $1,710.70