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Wisconsin rates for HCPCS 43825

Gastrojejunostomy W/Vagotomy Any Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,381.57 / $2,574.31 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.71 / $1,381.57 / $3,721.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,979.00 / $13,297.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.61 / $2,834.00 / $7,299.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,222.41 / $3,765.64 / $5,776.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,434.48 / $4,306.56 / $5,142.39
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,254.54 / $1,615.69 / $2,506.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,254.54 / $1,774.38 / $4,821.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.24 / $2,998.82 / $9,470.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.10 / $1,165.50 / $2,863.83
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,252.41 / $1,595.91 / $2,506.08
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,377.19 / $3,170.39 / $5,202.32
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,494.88 / $12,100.72 / $12,100.72
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,217.14 / $6,148.45 / $9,470.48
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,602.43 / $4,602.43 / $4,602.43
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,158.95 / $6,278.89 / $6,278.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $6,032.00 / $19,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,319.58 / $2,461.58 / $5,548.98