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Wisconsin rates for HCPCS 43496

Free Jejunum Trsf W/Microvasc Anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,259.11 / $2,259.11 / $17,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,929.49 / $2,259.11 / $3,217.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,979.00 / $13,297.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,930.86 / $4,634.06 / $11,928.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,242.96 / $7,295.39 / $11,191.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,667.76 / $8,687.35 / $9,978.79
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,993.35 / $2,722.26 / $4,877.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,993.35 / $3,064.24 / $6,235.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,177.60 / $4,848.50 / $15,301.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $466.28 / $3,776.81
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,993.35 / $2,722.26 / $4,922.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,712.47 / $4,978.12 / $7,166.77
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,354.05 / $38,949.76 / $38,949.76
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,800.06 / $9,399.75 / $15,301.92
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,713.19 / $8,713.19 / $8,713.19
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,386.28 / $12,386.28 / $12,386.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.00 / $4,917.00 / $19,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,150.39 / $4,344.84 / $9,914.99