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Wisconsin rates for HCPCS 58561

Hysteroscopy Removal Leiomyomata

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.88 / $8,901.25 / $52,917.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.88 / $561.80 / $3,927.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $10,908.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.72 / $974.18 / $2,196.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.32 / $1,050.92 / $1,695.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.58 / $1,085.21 / $1,545.98
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.28 / $430.38 / $2,017.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.88 / $2,269.87 / $12,622.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.80 / $1,052.84 / $2,556.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $589.04 / $862.07
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.28 / $430.38 / $2,017.24
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.50 / $1,073.96 / $1,265.06
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,623.50 / $12,623.50 / $12,623.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.16 / $2,315.59 / $7,725.84
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.73 / $1,888.72 / $1,888.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,073.00 / $9,837.00 / $12,062.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.48 / $1,052.95 / $1,523.09