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Wisconsin rates for HCPCS 43855

Revj Gastroduol Anast W/Rcnstj W/Vgtmy

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,115.42 / $4,809.18 / $7,757.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,104.65 / $6,382.97 / $7,253.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,084.33 / $6,084.33 / $6,084.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,423.81 / $8,423.81 / $8,423.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,084.33 / $6,084.33 / $6,084.33
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,744.46 / $8,423.81 / $8,423.81