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Wisconsin rates for HCPCS 55500

Exc Hydrocele Sprmatic Cord Uni Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.98 / $805.66 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.36 / $1,188.86 / $1,917.61
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.98 / $549.50 / $1,355.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.98 / $1,355.41 / $11,598.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.95 / $549.50 / $1,355.41
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.55 / $1,191.39 / $1,403.39
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
$6,073.00 / $9,837.00 / $12,062.00