go back

Wisconsin rates for HCPCS 58752

Tubouterine Implantation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.13 / $1,829.88 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.98 / $975.13 / $2,939.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $10,082.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.29 / $2,300.35 / $4,840.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.58 / $2,709.45 / $4,370.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,341.91 / $2,652.83 / $3,676.53
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.61 / $1,100.73 / $2,257.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.13 / $3,360.50 / $11,598.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.40 / $2,183.83 / $4,274.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $720.22 / $1,882.81
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$907.44 / $1,100.73 / $2,257.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,773.85 / $2,729.00 / $3,226.50
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,434.14 / $7,434.14 / $7,434.14
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,383.41 / $4,367.64 / $6,731.68
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,229.08 / $2,229.08 / $2,229.08
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,196.67 / $4,846.22 / $4,846.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.40 / $2,615.65 / $3,828.25