go back

Wisconsin rates for HCPCS 58555

Hysteroscopy, diagnostic (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $660.69 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $363.08 / $1,096.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,786.30 / $7,585.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $537.03 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,122.02 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $537.03 / $1,230.27
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $575.44 / $3,801.89
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $501.19 / $933.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $776.25 / $8,317.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $512.86 / $2,691.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $380.19
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $489.78 / $1,071.52
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $9,549.93 / $9,549.93
Quartz
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,905.46
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $741.31 / $2,454.71
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $794.33 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $398.11 / $1,122.02