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Wisconsin rates for HCPCS 43240

Egd Transoral Transmural Drainage Pseudocyst

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.14 / $3,119.00 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,979.00 / $6,389.00 / $10,382.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$994.84 / $1,162.55 / $1,783.37
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.06 / $500.52 / $875.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.41 / $574.39 / $7,318.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.48 / $497.41 / $833.66
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.40 / $923.43 / $1,602.62
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.62 / $24,378.75 / $24,378.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $7,280.00 / $8,384.00