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Wisconsin rates for HCPCS 43761

Repos Naso/Oro Gastric Feeding Tube Thru Duo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.55 / $246.42 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.00 / $2,550.00 / $4,471.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.58 / $366.45 / $562.15
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.92 / $140.56 / $214.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.14 / $147.85 / $916.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.11 / $140.56 / $214.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.20 / $293.22 / $464.45
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.22 / $466.27 / $1,300.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $1,590.00 / $2,202.90