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Wisconsin rates for HCPCS 43881

Impltj/Rplcmt Gastric Nstim Eltrde Antrum Open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.78 / $765.78 / $17,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.63 / $743.75 / $905.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,979.00 / $13,297.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.46 / $1,461.44 / $4,022.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,279.18 / $3,831.98 / $5,878.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.03 / $4,402.14 / $5,270.36
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.39 / $905.38 / $2,156.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.80 / $1,198.15 / $5,728.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.54 / $2,299.52 / $5,216.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $3,425.10
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.39 / $907.34 / $2,311.71
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.36 / $1,788.21 / $2,574.41
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.30 / $6,609.44 / $6,609.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.28 / $3,936.75 / $5,193.35
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,601.93 / $4,601.93 / $4,601.93
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,541.90 / $6,541.90 / $6,541.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $6,032.00 / $19,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.51 / $2,294.76 / $5,284.92