go back

Wisconsin rates for HCPCS 55831

Prostatectomy Retropubic Subtotal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$923.41 / $1,759.48 / $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
$2,208.65 / $2,580.98 / $4,163.02
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.19 / $1,226.13 / $1,805.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$923.41 / $2,100.00 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$923.41 / $1,300.03 / $1,805.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,677.65 / $2,590.55 / $3,051.52
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,014.72 / $8,014.72 / $8,014.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00