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Wisconsin rates for HCPCS 42508

Surgery-Digestive System

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,804.94 / $2,109.21 / $3,402.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.50 / $1,636.20 / $3,266.76
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.71 / $1,120.00 / $1,774.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.71 / $1,038.66 / $1,774.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,066.00 / $5,066.00 / $5,066.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $58.40
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.71 / $989.63 / $1,774.50
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,067.40 / $6,067.40 / $6,067.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,993.40 / $5,066.00 / $5,066.00