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Wisconsin rates for HCPCS 43999

Unlisted Procedure Stomach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,894.00 / $1,894.00 / $17,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,239.19 / $7,488.50 / $9,494.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,979.00 / $12,654.00 / $24,019.00
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.24 / $481.24 / $481.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.24 / $3,773.00 / $6,312.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.34 / $3,335.23 / $3,335.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.24 / $481.24 / $481.24
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $1,300.00 / $1,300.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,335.23 / $3,335.23 / $3,335.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,781.00 / $3,628.00 / $5,471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $75.00 / $85.00