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Wisconsin rates for HCPCS 43030

Cricopharyngeal Myotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.95 / $1,076.65 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,979.00 / $8,436.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,365.20 / $1,595.34 / $2,447.29
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.16 / $676.33 / $1,334.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.76 / $757.23 / $12,855.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.76 / $676.33 / $1,334.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.60 / $1,273.11 / $2,182.81
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.29 / $16,547.20 / $16,547.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,266.00 / $11,733.00 / $13,980.00