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Wisconsin rates for HCPCS 43257

Egd Deliver Thermal Energy Sphnctr/Cardia Gerd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.86 / $835.32 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,169.00 / $7,344.00 / $10,382.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.42 / $687.63 / $1,054.83
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.14 / $293.51 / $478.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.46 / $348.56 / $7,891.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.25 / $291.63 / $473.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.20 / $549.74 / $949.41
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.33 / $13,505.55 / $13,505.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $7,280.00 / $8,384.00