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Wisconsin rates for HCPCS 43848

Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,801.89 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,128.31 / $13,803.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $5,495.41 / $8,912.51
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $2,511.89 / $8,709.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,511.89 / $6,165.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $4,168.69 / $6,456.54
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $26,302.68 / $26,302.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45