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Wisconsin rates for HCPCS 44373

Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $389.05 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,570.88 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $562.34 / $912.01
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $263.03 / $3,467.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $281.84 / $4,897.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $398.11 / $616.60
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,897.79 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,801.89 / $6,606.93