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Wisconsin rates for HCPCS 43279

Laps Esophagomyotomy W/Fundoplasty If Performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.60 / $2,504.27 / $16,969.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,080.00 / $17,328.00 / $31,682.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,135.00 / $3,663.49 / $5,619.89
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$143.09 / $143.09 / $143.09
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.35 / $1,537.82 / $2,642.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.35 / $1,845.96 / $13,982.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$583.41 / $583.41 / $583.41
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.35 / $1,539.86 / $2,642.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,312.40 / $3,083.97 / $5,070.55
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,461.02 / $11,792.32 / $11,792.32
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$143.09 / $583.41 / $583.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,627.00 / $12,373.00 / $15,903.00