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Wisconsin rates for HCPCS 43499

Unlisted Procedure Esophagus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,894.00 / $8,570.25 / $17,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,346.40 / $2,346.40 / $2,346.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,979.00 / $12,654.00 / $24,019.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,586.00 / $4,292.39 / $6,312.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,453.30 / $6,191.64 / $6,191.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $1,300.00 / $1,300.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,191.64 / $6,191.64 / $6,191.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,976.00 / $3,827.00 / $5,471.00