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Wisconsin rates for HCPCS 57265

Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $2,398.83 / $8,912.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,630.27 / $4,168.69
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $6,606.93 / $13,182.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $7,585.78 / $15,848.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,949.84 / $2,691.53
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $12,589.25 / $12,589.25
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$851.14 / $851.14 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,302.69 / $16,218.10