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Wisconsin rates for HCPCS 43500

Gastrotomy; with exploration or foreign body removal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,548.82 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,317.64 / $13,803.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,290.87 / $3,630.78
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,023.29 / $8,128.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,047.13 / $5,888.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,778.28 / $2,754.23
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $7,079.46 / $7,079.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45