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Wisconsin rates for HCPCS 43107

Tot Esophagectomy W/O Thorcom W/Wo Pyloroplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,098.17 / $5,738.51 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $10,908.00 / $18,360.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,185.53 / $8,396.86 / $12,881.00
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,694.70 / $3,407.69 / $6,182.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,678.00 / $3,574.32 / $7,868.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,651.46 / $3,427.96 / $6,182.85
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,299.20 / $7,067.37 / $11,637.06
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,362.99 / $54,164.80 / $54,164.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $6,032.00 / $19,003.00