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Wisconsin rates for HCPCS 57287

Rmvl/Revj Sling Stress Incontinence

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.43 / $8,466.00 / $21,116.01
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
$1,934.70 / $2,260.86 / $3,646.68
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.56 / $902.90 / $2,949.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.43 / $2,949.96 / $11,598.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.56 / $902.90 / $2,949.96
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,452.10 / $2,123.13 / $2,641.26
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,496.40 / $9,496.40 / $9,496.40
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$900.13 / $900.13 / $900.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,073.00 / $9,837.00 / $12,062.00