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Wisconsin rates for HCPCS 58953

Bso W/Omentectomy Tah&Rad Debulking Dissection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,139.50 / $4,046.13 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $11,015.00 / $15,810.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,112.95 / $5,974.89 / $9,637.29
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,978.11 / $2,415.07 / $3,950.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,978.11 / $3,364.00 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,978.11 / $2,415.07 / $3,950.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,920.80 / $6,054.32 / $7,131.63
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,068.46 / $21,068.46 / $21,068.46
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$913.13 / $913.13 / $913.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00