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Wisconsin rates for HCPCS 45387

Surgery-Digestive System

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.75 / $982.48 / $1,584.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.45 / $762.14 / $1,521.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,738.55 / $7,738.55 / $7,738.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,056.65 / $2,056.65 / $2,056.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $58.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,738.55 / $7,738.55 / $7,738.55
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.00 / $2,056.65 / $2,056.65