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Wisconsin rates for HCPCS 58541

Laparoscopy Supracervical Hysterectomy 250 Gm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.50 / $1,484.93 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,084.00 / $11,838.00 / $18,458.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,879.74 / $2,196.62 / $3,543.07
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.97 / $791.96 / $1,418.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.50 / $8,791.00 / $17,200.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.97 / $791.96 / $1,418.94
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,431.95 / $2,203.00 / $2,604.61
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,770.10 / $27,770.10 / $27,770.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,984.00 / $12,373.00 / $15,090.00