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Wisconsin rates for HCPCS 57230

Plastic Repair Urethrocele

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.33 / $850.61 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $8,456.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,087.65 / $1,271.01 / $2,050.09
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.86 / $510.20 / $812.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.66 / $4,103.00 / $8,384.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.70 / $510.20 / $812.81
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.65 / $1,214.83 / $1,490.88
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