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Wisconsin rates for HCPCS 55175

Scrotoplasty; simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $457.09 / $954.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,943.28 / $12,589.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,122.02 / $1,778.28
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $2,454.71 / $4,786.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $7,585.78 / $15,848.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $851.14 / $1,202.26
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
$7,585.78 / $12,022.64 / $16,218.10