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Wisconsin rates for HCPCS 45397

Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $4,265.80 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,128.31 / $13,489.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $6,309.57 / $10,000.00
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,691.53 / $8,912.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,691.53 / $6,165.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $4,570.88 / $7,079.46
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $19,054.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45