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Wisconsin rates for HCPCS 55680

Excision Mullerian Duct Cyst

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.77 / $720.43 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.74 / $375.77 / $1,158.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.27 / $868.36 / $2,027.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.33 / $1,061.45 / $1,712.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.39 / $1,093.18 / $1,454.58
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.21 / $474.98 / $1,805.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.77 / $4,103.00 / $8,783.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.93 / $829.00 / $1,831.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.92 / $347.85 / $796.32
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.77 / $502.05 / $1,805.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.10 / $1,057.90 / $1,246.14
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
$487.16 / $3,122.25 / $5,174.55
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.02 / $950.02 / $950.02
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.96 / $1,692.49 / $1,692.49
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
$393.67 / $1,033.76 / $1,723.41