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Wisconsin rates for HCPCS 43415

Sutr Esophgl Wnd/Inj Tthrc/Tabdl Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,681.61 / $4,978.64 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $10,908.00 / $18,360.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,244.76 / $7,297.50 / $11,194.55
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,884.00 / $2,695.73 / $4,833.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,002.80 / $2,987.19 / $6,235.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,884.00 / $2,695.73 / $4,833.03
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,588.20 / $6,119.13 / $10,109.64
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,917.75 / $47,031.68 / $47,031.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.00 / $4,917.00 / $19,003.00