go back

Wisconsin rates for HCPCS 43800

Pyloroplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.50 / $1,830.26 / $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
$2,293.35 / $2,679.96 / $4,111.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.54 / $1,153.09 / $1,984.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.54 / $1,303.09 / $4,821.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.54 / $1,148.35 / $1,984.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,685.40 / $2,247.76 / $3,699.77
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,060.55 / $8,592.87 / $8,592.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $6,032.00 / $19,003.00