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Wisconsin rates for HCPCS 55842

Prostect Retropubic Rad W/Wo Nrv Spar W/Lymph Bx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.83 / $4,252.60 / $15,929.53
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
$2,994.42 / $3,499.22 / $5,644.12
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.83 / $1,660.95 / $6,194.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.83 / $2,678.00 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.83 / $1,743.72 / $6,194.62
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,273.69 / $3,510.94 / $4,135.68
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,875.52 / $10,875.52 / $10,875.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00