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Wisconsin rates for HCPCS 44202

Laps Enterect Rescj 1 Small Intest Rescj & Ana

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,466.16 / $4,863.05 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,084.00 / $12,003.00 / $19,370.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,417.95 / $3,994.14 / $6,127.12
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$154.72 / $154.72 / $154.72
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $1,715.41 / $2,926.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $1,898.69 / $12,202.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$631.41 / $631.41 / $631.41
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,329.54 / $1,715.41 / $2,854.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,502.60 / $3,337.63 / $5,518.31
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,576.70 / $12,778.64 / $12,778.64
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$154.72 / $631.41 / $631.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,799.00 / $13,980.00