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Wisconsin rates for HCPCS 44005

Enterolss Fring Intstinal Adhesion Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.54 / $3,826.78 / $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
$2,686.24 / $3,139.08 / $4,815.43
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$121.95 / $121.95 / $121.95
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,046.51 / $1,375.15 / $2,354.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.75 / $1,475.80 / $4,821.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$497.90 / $497.90 / $497.90
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,046.51 / $1,348.47 / $2,308.63
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,973.40 / $2,631.86 / $4,339.10
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,243.03 / $10,063.84 / $10,063.84
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$121.95 / $497.90 / $497.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $6,032.00 / $19,003.00