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Wisconsin rates for HCPCS 43300

Esophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,288.25 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $676.08 / $1,230.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $19,054.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,174.90 / $3,019.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,905.46 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,380.38 / $2,630.27
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $831.76 / $8,128.31
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,380.38 / $1,995.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $870.96 / $5,128.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,122.02 / $6,456.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,288.25 / $1,995.26
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $5,011.87 / $5,011.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $2,951.21 / $6,456.54
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $2,290.87
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,344.23 / $3,162.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $870.96 / $2,290.87