go back

Wisconsin rates for HCPCS 58558

Hysteroscopy Bx Endometrium&/Polypc W/Wo D&C

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.25 / $7,561.75 / $14,070.38
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$123.05 / $413.55 / $2,299.12
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$49.22 / $165.42 / $919.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.10 / $691.03 / $4,304.00
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$49.22 / $180.40 / $516.01
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
$402.32 / $1,335.51 / $6,075.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.31 / $334.41 / $334.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,169.18 / $1,605.02 / $2,480.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,597.27 / $4,203.70 / $6,780.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.51 / $1,892.03 / $4,721.58
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.64 / $804.31 / $1,870.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.49 / $1,915.34 / $8,129.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.22 / $3,112.64 / $6,532.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $1,130.67 / $2,740.61
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.64 / $804.31 / $1,870.19
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.73 / $1,207.30 / $4,412.34
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,131.86 / $2,131.86 / $2,131.86
Quartz
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$840.46 / $840.46 / $840.46
Quartz
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$210.11 / $210.11 / $210.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.09 / $4,931.93 / $9,714.64
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.91 / $1,223.15 / $7,231.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.66 / $3,374.50 / $5,915.50