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Wisconsin rates for HCPCS 57120

Colpocleisis (Le Fort type)

Facilitymedian $10,233 · 10th–90th $4,677–$16,9820%10%10th90th$10,233Professionalmedian $1,202 · 10th–90th $617–$1,6600%10%20%10th90th$1,202$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $1,071.52 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $10,964.78 / $17,378.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,621.81 / $2,570.40
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $7,244.36 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $7,079.46 / $12,589.25
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $8,511.38 / $9,120.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $1,202.26 / $1,659.59
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $12,589.25 / $12,589.25
Quartz
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$851.14 / $851.14 / $1,258.93
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $1,318.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $10,232.93 / $12,589.25