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Wisconsin rates for HCPCS 58555

Hysteroscopy Diagnostic Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.22 / $655.65 / $1,894.00
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$32.25 / $80.08 / $247.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.22 / $319.27 / $1,108.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.89 / $673.76 / $1,648.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.00 / $1,128.84 / $1,820.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.27 / $524.33 / $1,282.94
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.22 / $339.89 / $664.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.62 / $451.39 / $8,129.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.19 / $854.40 / $1,755.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $382.55 / $839.42
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.22 / $339.89 / $664.33
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.83 / $618.24 / $1,143.31
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.65 / $879.65 / $879.65
Quartz
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$138.36 / $138.36 / $138.36
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.16 / $1,529.73 / $2,665.36
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.28 / $803.07 / $1,964.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,614.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.97 / $870.25 / $1,369.56