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Wisconsin rates for HCPCS 55175

Scrotoplasty Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.03 / $757.98 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.29 / $1,115.16 / $1,798.71
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.03 / $529.58 / $1,672.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.03 / $1,672.93 / $14,978.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.03 / $529.58 / $1,672.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.85 / $1,113.09 / $1,311.17
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
$7,301.00 / $11,608.00 / $13,980.00