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Wisconsin rates for HCPCS 43880

Closure Gastrocolic Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,678.37 / $3,142.94 / $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
$3,931.59 / $4,594.37 / $7,047.88
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,522.73 / $1,909.09 / $3,056.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,522.64 / $2,097.34 / $4,821.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,476.60 / $1,909.00 / $3,056.10
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,905.80 / $3,875.37 / $6,353.53
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,831.07 / $14,791.76 / $14,791.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.00 / $4,917.00 / $19,003.00