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Wisconsin rates for HCPCS 58752

Tubouterine implantation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,819.70 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $912.01 / $2,238.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $18,197.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,737.80 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,691.53 / $4,365.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,691.53 / $3,090.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $3,981.07 / $7,413.10
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,187.76 / $2,754.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $6,309.57 / $12,302.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,584.89 / $6,760.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,148.15
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $2,041.74 / $2,818.38
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $7,244.36 / $7,244.36
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $4,365.16 / $6,760.83
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,238.72 / $2,238.72
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $4,897.79 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $10,232.93 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,445.44 / $3,801.89