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Wisconsin rates for HCPCS 43500

Gastrotomy W/Exploration/Foreign Body Removal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.46 / $1,558.37 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,979.00 / $13,297.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,950.02 / $2,278.76 / $3,495.67
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$754.68 / $961.90 / $1,624.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.60 / $1,110.67 / $4,821.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.60 / $942.74 / $1,624.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,431.60 / $1,909.28 / $3,142.55
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.98 / $7,286.24 / $7,286.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $6,032.00 / $19,003.00