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Wisconsin rates for HCPCS 58323

Sperm washing for artificial insemination

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $29.51 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $14.13 / $42.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,090.30 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $28.18 / $67.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $44.67 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $35.48 / $51.29
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $40.74 / $3,801.89
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $32.36 / $41.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $93.33 / $1,778.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $30.20 / $295.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $33.88 / $48.98
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $1,288.25 / $1,288.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $36.31 / $295.12
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $19.05
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $56.23 / $95.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,584.89 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $22.91 / $56.23