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Wisconsin rates for HCPCS 44661

Closure of enterovesical fistula; with intestine and/or bladder resection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $3,019.95 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,317.64 / $13,803.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $4,466.84 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$263.03 / $263.03 / $263.03
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,995.26 / $8,511.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,041.74 / $5,888.44
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$707.95 / $707.95 / $707.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $3,311.31 / $5,128.61
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $13,803.84 / $13,803.84
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$380.19 / $380.19 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45