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Wisconsin rates for HCPCS 43280

Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.50 / $14,011.27 / $32,103.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,878.00 / $14,844.00 / $22,609.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,647.49 / $3,093.80 / $4,745.97
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$120.50 / $120.50 / $120.50
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,033.78 / $1,393.83 / $2,730.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,033.78 / $1,608.35 / $13,982.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,105.03 / $2,105.03 / $2,105.03
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,033.78 / $1,393.83 / $2,730.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.40 / $2,599.85 / $4,275.07
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,227.70 / $22,189.40 / $22,189.40
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$120.50 / $2,105.03 / $2,105.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,967.00 / $12,708.00 / $17,327.00