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Wisconsin rates for HCPCS 58292

Vag Hyst > 250 Gm Rmvl Tube&/Ovary W/Rpr Entrcle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,405.28 / $2,635.18 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,144.52 / $1,405.28 / $4,449.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,287.00 / $15,141.00 / $22,609.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.72 / $3,481.20 / $7,141.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,330.54 / $3,892.00 / $6,277.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,932.47 / $3,818.62 / $5,284.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.31 / $1,588.90 / $2,518.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,405.28 / $5,266.00 / $15,743.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,475.37 / $3,170.90 / $6,159.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.74 / $806.99 / $2,569.35
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.31 / $1,588.90 / $2,518.06
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,556.44 / $3,947.55 / $4,649.99
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,298.90 / $16,298.90 / $16,298.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,991.35 / $6,341.80 / $9,704.08
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,210.60 / $3,210.60 / $3,210.60
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,414.26 / $6,975.87 / $6,975.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,217.00 / $11,608.00 / $13,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.60 / $3,667.58 / $5,558.59