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Wisconsin rates for HCPCS 55821

Prostatectomy Suprapubic Subtotal 1/2 Stages

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.39 / $1,716.77 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,979.00 / $13,152.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.38 / $2,519.90 / $4,064.51
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.39 / $1,200.98 / $3,658.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.39 / $2,429.00 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.39 / $1,380.86 / $3,658.43
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,636.05 / $2,526.31 / $2,975.85
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,819.36 / $7,819.36 / $7,819.36
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$381.03 / $381.03 / $381.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00