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Wisconsin rates for HCPCS 43325

Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $2,691.53 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,479.11 / $2,691.53
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
$1,288.25 / $2,454.71 / $6,309.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,890.45 / $6,165.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,951.21 / $5,370.32
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,778.28 / $8,511.38
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,818.38 / $4,466.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,778.28 / $5,888.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $2,290.87 / $9,772.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $3,019.95 / $4,677.35
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $12,302.69 / $12,302.69
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $6,309.57 / $9,772.37
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $4,786.30
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $5,011.87 / $6,456.54
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
$1,258.93 / $1,819.70 / $4,897.79