go back

Wisconsin rates for HCPCS 45397

Laps Proctectomy Combined Pull-Thru W/Reservoir

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.86 / $6,461.00 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,929.10 / $13,152.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,340.04 / $6,240.26 / $9,572.70
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,976.74 / $2,573.48 / $4,333.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,947.95 / $2,803.00 / $6,178.71
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,976.74 / $2,576.19 / $4,333.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,792.00 / $5,057.26 / $8,599.94
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,393.94 / $19,569.43 / $19,569.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $6,032.00 / $19,003.00