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Wisconsin rates for HCPCS 58262

Vag Hyst 250 Gm/< W/Rmvl Tube&/Ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.94 / $8,466.00 / $25,566.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,720.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,373.55 / $2,773.68 / $4,473.85
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$925.57 / $1,124.96 / $3,906.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.94 / $4,240.00 / $12,622.22
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$925.57 / $1,124.96 / $3,906.49
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,814.80 / $2,792.00 / $3,300.98
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,623.50 / $12,623.50 / $12,623.50
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,196.53 / $1,196.53 / $1,196.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,073.00 / $9,837.00 / $12,062.00