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Wisconsin rates for HCPCS 43265

Ercp Destruction/Lithotripsy Calculi Any Method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.62 / $1,550.55 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,479.00 / $8,746.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,097.56 / $1,282.58 / $1,967.53
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.92 / $599.16 / $1,312.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.97 / $696.60 / $7,318.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.92 / $599.16 / $1,274.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.80 / $1,018.65 / $1,769.36
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.62 / $15,338.55 / $15,338.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $7,280.00 / $8,384.00