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Wisconsin rates for HCPCS 44500

Introduction Long Gi Tube Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.23 / $39.11 / $14,482.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$10.62 / $19.55 / $34.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,419.00 / $4,441.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.76 / $55.81 / $85.61
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$16.70 / $16.70 / $16.70
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.67 / $26.96 / $60.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.67 / $31.20 / $4,292.39
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$2,165.08 / $2,165.08 / $2,165.08
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.67 / $26.84 / $60.66
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.20 / $45.61 / $78.14
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.59 / $2,855.25 / $2,855.25
Quartz
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$16.70 / $2,165.08 / $2,165.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,976.00 / $3,827.00 / $5,471.00