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Wisconsin rates for HCPCS 43633

Gstrct Prtl Dstl W/Roux-En-Y Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,020.19 / $3,765.62 / $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
$4,703.85 / $5,496.82 / $8,432.26
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,793.66 / $2,291.39 / $4,014.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,766.85 / $2,526.64 / $5,506.60
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,766.85 / $2,291.39 / $3,983.98
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,475.20 / $4,634.76 / $7,608.70
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,193.30 / $17,700.96 / $17,700.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $6,032.00 / $19,003.00