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Wisconsin rates for HCPCS 43210

Egd Partial/Compl Esophagogastric Fundoplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.93 / $1,526.09 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,139.00 / $14,553.00 / $22,609.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.43 / $1,252.05 / $1,920.68
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.37 / $491.26 / $833.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.37 / $585.25 / $10,843.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.37 / $504.56 / $863.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.20 / $1,021.86 / $1,731.09
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.57 / $40,416.10 / $40,416.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,240.00 / $9,953.00 / $12,062.00