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Wisconsin rates for HCPCS 58578

Unlisted Laparoscopy Procedure Uterus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,461.00 / $14,482.00 / $25,333.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.40 / $1,765.00 / $1,765.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,084.00 / $11,485.00 / $18,276.00
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,735.15 / $10,735.15 / $10,735.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,217.00 / $11,955.00 / $15,743.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,791.79 / $3,791.79 / $3,791.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,735.15 / $10,735.15 / $10,735.15
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,791.79 / $3,791.79 / $3,791.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,217.00 / $11,733.00 / $14,978.00