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Wisconsin rates for HCPCS 43881

Implantation or replacement of gastric neurostimulator electrodes, antrum, open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $691.83 / $1,023.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,128.31 / $13,489.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,318.26 / $3,235.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,801.89 / $6,165.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $2,884.03 / $5,370.32
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $933.25 / $8,709.64
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,630.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,071.52 / $5,888.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,737.80 / $5,248.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,548.82 / $2,290.87
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $6,309.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $3,981.07 / $5,011.87
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $4,570.88 / $4,570.88
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $6,606.93 / $7,079.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,412.54 / $4,365.16