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Wisconsin rates for HCPCS 58700

Salpingectomy Complete/Partial Uni/Bi Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.37 / $1,617.41 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $10,082.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,046.44 / $2,391.42 / $3,857.29
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.19 / $965.91 / $2,209.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.37 / $2,209.73 / $11,598.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.74 / $965.91 / $2,209.73
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,573.65 / $2,379.60 / $2,862.35
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,563.76 / $6,563.76 / $6,563.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,017.00 / $9,158.00 / $12,062.00