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Wisconsin rates for HCPCS 42955

Pharyngostomy (fistulization of pharynx, external for feeding)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,548.82 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $831.76 / $1,479.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,786.30 / $7,585.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,445.44 / $3,715.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,344.23 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,621.81 / $3,235.94
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $912.01 / $3,467.37
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,659.59 / $2,511.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $954.99 / $4,786.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,318.26 / $5,623.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,621.81 / $2,511.89
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $5,128.61 / $5,128.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $3,630.78 / $5,495.41
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,818.38
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,951.21 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,801.89 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,023.29 / $2,818.38