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Wisconsin rates for HCPCS 58974

Embryo Transfer Intrauterine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.44 / $937.90 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.53 / $155.44 / $871.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.38 / $385.82 / $788.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.59 / $462.28 / $745.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.18 / $454.39 / $530.54
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.72 / $174.75 / $308.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.97 / $1,957.00 / $4,514.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.30 / $326.31 / $723.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $85.00 / $519.71
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.72 / $174.75 / $308.76
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.64 / $441.00 / $500.80
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,649.80 / $2,649.80 / $2,649.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.65 / $1,221.75 / $1,992.01
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.94 / $196.94 / $196.94
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.54 / $1,002.17 / $1,002.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,367.00 / $3,068.00 / $4,985.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.76 / $420.76 / $607.20