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Wisconsin rates for HCPCS 43870

Closure Gastrostomy Surg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.12 / $1,894.00 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,979.00 / $6,389.00 / $10,382.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,767.10 / $2,064.98 / $3,167.75
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.02 / $855.65 / $1,373.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.95 / $952.13 / $7,318.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.95 / $851.79 / $1,373.31
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,286.40 / $1,715.63 / $2,844.89
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.71 / $10,639.60 / $10,639.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $7,280.00 / $8,384.00