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Wisconsin rates for HCPCS 55870

Electroejaculation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.86 / $370.51 / $1,894.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.72 / $182.99 / $588.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.99 / $432.70 / $940.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.58 / $547.58 / $883.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.66 / $439.55 / $660.53
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.00 / $196.32 / $291.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.00 / $281.91 / $4,130.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.70 / $565.65 / $1,052.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $235.45 / $497.71
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.00 / $196.32 / $291.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.77 / $444.37 / $607.07
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.20 / $659.20 / $659.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.87 / $754.97 / $1,332.40
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.26 / $383.26 / $481.27
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.77 / $680.48 / $868.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,257.00 / $3,088.30 / $4,295.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.11 / $521.34 / $832.20