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Wisconsin rates for HCPCS 58554

Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.93 / $21,320.40 / $43,928.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,878.00 / $15,141.00 / $22,609.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,320.63 / $3,880.42 / $6,258.97
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,284.97 / $1,533.00 / $2,511.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.93 / $6,154.00 / $16,779.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,284.97 / $1,533.00 / $2,511.52
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,547.35 / $3,933.50 / $4,633.43
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
$8,627.00 / $12,373.00 / $15,090.00