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Wisconsin rates for HCPCS 55200

Vasotomy Cannulization W/Wo Vas Inc Uni/Bi Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.92 / $787.37 / $3,119.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.99 / $419.13 / $1,027.16
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
$414.42 / $879.75 / $2,018.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,019.17 / $1,190.98 / $1,921.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.70 / $873.91 / $1,376.75
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.77 / $419.13 / $634.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.77 / $559.86 / $8,384.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.17 / $1,397.40 / $2,311.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.91 / $320.00 / $853.36
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.14 / $419.13 / $634.05
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.84 / $894.84 / $1,354.92
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,307.32 / $1,307.32 / $1,307.32
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.44 / $1,630.58 / $3,393.85
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.04 / $758.04 / $1,070.96
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.65 / $1,352.96 / $1,875.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.56 / $1,258.55 / $1,922.31