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Wisconsin rates for HCPCS 57800

Dilation of cervical canal, instrumental (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $70.79 / $165.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $131.83 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $144.54 / $269.15
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $138.04 / $213.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $117.49 / $851.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $144.54 / $245.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $162.18 / $851.14
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $257.04 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $95.50 / $239.88