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Wisconsin rates for HCPCS 43848

Revision Open Gastric Restrictive Px Not Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,035.25 / $3,795.17 / $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
$4,744.39 / $5,544.20 / $8,504.95
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,837.49 / $2,361.44 / $3,985.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,803.01 / $2,605.75 / $5,728.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,809.53 / $2,361.44 / $3,985.19
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,496.20 / $4,662.77 / $7,666.33
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,207.21 / $26,755.92 / $26,755.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.00 / $4,917.00 / $19,003.00