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Wisconsin rates for HCPCS 42961

Control Oropharyngeal Hemorrhage Comp Req Hospitj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.48 / $866.88 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,955.00 / $13,152.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.58 / $1,293.11 / $1,983.68
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.28 / $468.94 / $914.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.20 / $553.61 / $6,955.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.88 / $468.94 / $855.55
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.80 / $1,018.65 / $1,761.13
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.18 / $2,978.04 / $2,978.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $7,280.00 / $8,384.00