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Wisconsin rates for HCPCS 43631

Gstrct Prtl Dstl W/Gastroduodenostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,526.34 / $2,850.10 / $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
$3,562.13 / $4,162.63 / $6,385.58
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,385.74 / $1,772.21 / $3,054.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,385.74 / $1,938.05 / $5,098.18
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,385.57 / $1,772.21 / $2,999.09
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,626.20 / $3,502.48 / $5,754.61
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,651.99 / $13,365.04 / $13,365.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.00 / $4,917.00 / $19,003.00