go back

Wisconsin rates for HCPCS 57130

Excision Vaginal Septum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.89 / $467.75 / $3,119.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.59 / $200.78 / $606.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.42 / $529.64 / $1,084.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.96 / $713.95 / $1,151.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.74 / $512.26 / $815.47
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.15 / $253.60 / $446.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.17 / $337.14 / $8,384.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.01 / $497.00 / $1,112.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.56 / $273.62 / $467.30
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.89 / $253.60 / $446.96
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.97 / $542.69 / $773.45
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.92 / $815.92 / $815.92
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.14 / $805.65 / $2,741.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.14 / $428.14 / $581.69
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.70 / $935.81 / $1,254.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.89 / $550.10 / $868.09