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Wisconsin rates for HCPCS 57200

Colporrhaphy Suture Injury Vagina

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.24 / $1,211.66 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.19 / $1,020.39 / $1,645.85
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.38 / $402.73 / $1,101.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.13 / $2,316.15 / $8,384.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.38 / $402.73 / $1,101.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.60 / $930.85 / $1,187.03
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,496.40 / $9,496.40 / $9,496.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00