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Wisconsin rates for HCPCS 58956

Bso W/Tot Omentectomy & Hysterectomy Malignanc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,455.67 / $2,755.78 / $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
$3,485.53 / $4,073.12 / $6,569.80
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.27 / $1,469.75 / $2,633.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,455.67 / $2,678.00 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.27 / $1,469.75 / $2,633.30
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,668.90 / $4,121.18 / $4,854.52
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,343.39 / $14,343.39 / $14,343.39
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$621.57 / $621.57 / $621.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00