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Wisconsin rates for HCPCS C2596

Probe, Robotic, Water-Jet

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.89 / $8,806.87 / $10,075.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,759.30 / $4,759.30 / $4,759.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,293.00 / $9,720.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,811.00 / $3,143.00 / $9,310.00
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,759.30 / $4,759.30 / $4,759.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,759.30 / $4,759.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,759.30 / $4,759.30 / $4,759.30
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,900.00 / $5,900.00 / $5,900.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $65.00 / $100.00