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Wisconsin rates for HCPCS 55840

Prostatectomy Retropubic W/Wo Nerve Sparing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.59 / $2,388.96 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $10,705.54 / $18,141.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,996.22 / $3,501.32 / $5,647.51
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.59 / $1,659.89 / $5,065.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.59 / $2,678.00 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.59 / $1,828.35 / $5,065.43
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,278.90 / $3,518.97 / $4,145.14
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,881.12 / $10,881.12 / $10,881.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00