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Wisconsin rates for HCPCS 55801

Prostatectomy Perineal Subtotal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.41 / $2,239.69 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,100.02 / $1,174.41 / $3,640.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,979.00 / $13,152.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.44 / $2,849.01 / $6,190.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,810.59 / $3,284.40 / $5,297.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.17 / $3,401.30 / $4,499.74
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,094.96 / $1,504.22 / $2,185.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.41 / $2,310.00 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,254.79 / $2,622.85 / $5,774.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $913.20 / $2,362.52
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.41 / $1,504.22 / $2,185.30
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,133.94 / $3,295.15 / $3,881.49
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,920.45 / $8,920.45 / $8,920.45
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,515.73 / $5,340.15 / $8,139.92
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,978.72 / $2,978.72 / $2,978.72
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,133.58 / $5,265.93 / $5,265.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.74 / $3,023.68 / $5,064.38