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Wisconsin rates for HCPCS 58545

Laps Myomectomy Exc 1-4 Myomas 250 Gm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$965.44 / $3,241.72 / $33,667.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,084.00 / $11,485.00 / $18,276.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,299.66 / $2,687.33 / $4,334.57
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.89 / $1,090.51 / $2,712.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$965.44 / $2,712.81 / $14,978.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.89 / $1,090.51 / $2,712.81
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,764.75 / $2,722.67 / $3,209.94
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,223.75 / $16,223.75 / $16,223.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,608.00 / $13,980.00