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Wisconsin rates for HCPCS 44701

Intraoperative colonic lavage (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $323.59 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $181.97 / $331.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,584.89 / $1,584.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $302.00 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $478.63 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $371.54 / $660.69
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $213.80 / $3,548.13
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $346.74 / $549.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $218.78 / $1,445.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $288.40 / $1,995.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $354.81 / $549.54
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $1,288.25 / $1,288.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $794.33 / $1,995.26
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $630.96 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,584.89 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $229.09 / $616.60