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Wisconsin rates for HCPCS 57268

Repair Enterocele Vaginal Approach Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.72 / $1,034.21 / $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
$1,319.24 / $1,541.64 / $2,486.60
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.62 / $616.58 / $2,276.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.72 / $2,276.21 / $8,783.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.62 / $616.58 / $2,276.21
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.50 / $1,493.29 / $1,808.92
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,623.50 / $12,623.50 / $12,623.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00