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Wisconsin rates for HCPCS 44620

Closure Enterostomy Lg/Small Intestine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$922.47 / $1,717.09 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,979.00 / $13,297.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.48 / $2,518.85 / $3,863.98
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$96.41 / $96.41 / $96.41
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$833.28 / $1,039.94 / $1,841.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.10 / $1,151.02 / $4,821.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$393.29 / $393.29 / $393.29
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.07 / $1,039.94 / $1,782.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,558.80 / $2,078.92 / $3,473.14
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.24 / $7,990.00 / $7,990.00
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$96.41 / $393.29 / $393.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $6,032.00 / $19,003.00