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Wisconsin rates for HCPCS 44139

Moblj Splenic Flxr Pfrmd Conjunct W/Partial Colct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.15 / $233.55 / $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
$291.06 / $340.13 / $521.77
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$13.27 / $13.27 / $13.27
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.67 / $145.32 / $336.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.85 / $160.24 / $4,602.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$54.19 / $54.19 / $54.19
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.67 / $145.32 / $336.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.80 / $286.47 / $472.50
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.38 / $1,300.00 / $1,300.00
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$13.27 / $54.19 / $54.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $6,032.00 / $19,003.00