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Wisconsin rates for HCPCS 58267

Vag Hyst 250 Gm/< W/Colpo-Urtcstopexy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.81 / $2,157.07 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.69 / $1,149.81 / $3,572.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $10,082.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.14 / $2,795.14 / $5,819.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,732.20 / $3,192.79 / $5,149.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,581.86 / $3,126.71 / $4,333.67
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,070.75 / $1,297.83 / $4,961.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.81 / $4,240.00 / $11,598.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.34 / $2,569.28 / $5,039.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.64 / $661.46 / $2,142.43
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,070.75 / $1,297.83 / $4,961.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,090.40 / $3,216.00 / $3,802.28
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,761.06 / $8,761.06 / $8,761.06
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.53 / $5,138.55 / $7,932.80
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,626.57 / $2,626.57 / $2,626.57
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,737.08 / $5,711.88 / $5,711.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,073.00 / $9,837.00 / $12,062.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,228.26 / $3,471.09 / $4,419.14