go back

Wisconsin rates for HCPCS 44203

Laparoscopy, surgical; each additional small intestine resection and anastomosis (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $467.74 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $12,882.50 / $21,379.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $676.08 / $1,071.52
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $323.59 / $8,128.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $354.81 / $12,302.69
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $512.86 / $794.33
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,584.89 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $12,022.64 / $16,218.10