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Wisconsin rates for HCPCS 39545

Imbrication Diaphragm Eventration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.39 / $1,754.73 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,084.00 / $12,066.00 / $19,370.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,195.13 / $2,565.17 / $4,137.55
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.39 / $939.97 / $1,709.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.08 / $2,198.00 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.39 / $998.25 / $1,709.98
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,745.25 / $2,685.00 / $3,717.53
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,336.70 / $13,336.70 / $13,336.70
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$406.46 / $406.46 / $406.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00