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Wisconsin rates for HCPCS 44386

Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); with biopsy, single or multiple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.24 / $630.32 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.00 / $2,550.00 / $4,471.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.45 / $985.64 / $1,511.99
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.45 / $281.91 / $612.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.36 / $311.08 / $2,776.25
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.43 / $278.88 / $602.29
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.90 / $404.93 / $1,033.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.68 / $569.88 / $2,776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,976.00 / $3,827.00 / $5,471.00