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Wisconsin rates for HCPCS 58559

Hysteroscopy Lysis Intrauterine Adhesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.14 / $567.97 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,479.00 / $9,096.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.59 / $835.05 / $1,346.91
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.60 / $342.01 / $1,298.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.14 / $3,193.00 / $8,783.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.60 / $342.01 / $1,298.85
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.85 / $852.14 / $1,003.77
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,623.50 / $12,623.50 / $12,623.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00