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Wisconsin rates for HCPCS 43860

Revj Gstr/Jj Anast W/Rcnstj W/O Vgtmy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,724.30 / $3,208.03 / $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
$4,016.29 / $4,693.35 / $7,199.73
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,566.24 / $1,996.11 / $3,444.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,566.24 / $2,178.42 / $4,821.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,534.22 / $1,960.68 / $3,379.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,958.00 / $3,944.99 / $6,489.17
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,863.80 / $15,069.52 / $15,069.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $6,032.00 / $19,003.00