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Wisconsin rates for HCPCS 57112

Vaginectomy, Complete Removal Of Vaginal Wall; With Removal Of Paravaginal Tissue With Bilat Tot Pelv Lymph/ Node Samp

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,496.59 / $5,254.62 / $8,475.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,392.20 / $5,777.22 / $7,144.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,597.00 / $12,122.00 / $12,122.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,661.15 / $5,661.15 / $5,661.15
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,533.64 / $6,533.64 / $6,533.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,461.20 / $12,122.00 / $12,122.00