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Wisconsin rates for HCPCS 58322

Artificial Insemination Intra-Uterine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.11 / $186.08 / $670.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.34 / $89.56 / $421.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.04 / $201.01 / $416.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.60 / $281.16 / $453.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.10 / $188.44 / $307.56
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.98 / $99.24 / $177.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.05 / $119.36 / $1,778.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.22 / $255.20 / $435.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.98 / $110.45 / $202.48
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.98 / $99.24 / $177.81
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.41 / $202.17 / $308.02
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.85 / $258.85 / $258.85
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.02 / $384.93 / $678.40
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.64 / $73.64 / $118.80
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.37 / $359.74 / $587.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.42 / $255.20 / $375.27