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Wisconsin rates for HCPCS 43314

Esphgp Cgen Dfct Thrc Appr W/Rpr Fstl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,255.86 / $6,055.25 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,763.04 / $3,255.86 / $8,826.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $10,908.00 / $18,360.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,712.23 / $6,678.69 / $17,052.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,567.61 / $8,843.35 / $13,565.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,539.54 / $9,660.39 / $12,103.74
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,861.25 / $3,502.04 / $5,875.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,803.00 / $3,695.44 / $6,656.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,078.08 / $6,800.54 / $22,337.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.59 / $2,063.02 / $6,358.13
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,861.25 / $3,502.04 / $5,875.89
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,606.40 / $7,477.07 / $12,244.75
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,539.93 / $57,078.72 / $57,078.72
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,946.89 / $13,711.25 / $22,337.92
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,858.31 / $10,858.31 / $10,858.31
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,782.58 / $14,778.69 / $14,778.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $6,032.00 / $19,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,010.55 / $5,708.34 / $12,374.40