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Wisconsin rates for HCPCS 57105

Biopsy of vaginal mucosa; extensive, requiring suture (including cysts)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $302.00 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $165.96 / $426.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,786.30 / $7,585.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $338.84 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $549.54 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $446.68 / $616.60
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $288.40 / $4,168.69
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $398.11 / $478.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $346.74 / $8,317.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $251.19 / $1,548.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $181.97
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $407.38 / $575.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $9,549.93 / $9,549.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $416.87 / $1,548.82
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $794.33 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $239.88 / $588.84