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Wisconsin rates for HCPCS 43840

Gastrorrhaphy Sutr Prf8 Duol/Gstr Ulcer Wnd/Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,435.29 / $2,674.30 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $8,006.00 / $17,761.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,346.76 / $3,910.95 / $5,999.50
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$152.11 / $152.11 / $152.11
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,218.00 / $1,537.76 / $2,808.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,220.00 / $1,789.24 / $10,230.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$621.27 / $621.27 / $621.27
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,210.77 / $1,521.38 / $2,808.73
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,462.40 / $3,284.02 / $5,403.46
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,549.62 / $12,545.84 / $12,545.84
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$152.11 / $621.27 / $621.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,240.00 / $9,953.00 / $12,062.00