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Wisconsin rates for HCPCS 43236

Esophagogastroduodenoscopy Submucosal Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.10 / $498.72 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.00 / $2,550.00 / $4,471.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,084.95 / $1,267.84 / $1,944.91
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.16 / $366.11 / $696.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.56 / $395.02 / $2,586.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.25 / $364.65 / $696.85
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.19 / $633.59 / $1,333.19
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.12 / $960.78 / $2,855.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,976.00 / $3,827.00 / $5,471.00