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Wisconsin rates for HCPCS 57155

Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy

Facilitymedian $4,169 · 10th–90th $741$7,0790%10%10th90th$4,169Professionalmedian $468 · 10th–90th $269$1,4790%10%10th90th$468$50.0$200.0$1.0K$5.0K

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
$309.03 / $602.56 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $380.19 / $912.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $4,570.88 / $7,079.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $741.31 / $1,778.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,258.93 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $870.96 / $1,380.38
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $691.83 / $3,715.35
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $794.33 / $1,122.02
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $724.44 / $4,466.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $741.31 / $4,897.79
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $575.44
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $2,951.21 / $3,235.94
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $977.24 / $1,348.96
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $831.76 / $1,318.26
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $12,589.25 / $12,589.25
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $1,584.89 / $4,897.79
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $977.24
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,548.82 / $2,187.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $2,818.38 / $6,456.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $575.44 / $1,698.24