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Wisconsin rates for HCPCS 45402

Laparoscopy Proctopexy Prolapse Sigmoid Rescj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,625.09 / $5,380.06 / $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
$3,789.21 / $4,427.99 / $6,792.65
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,452.71 / $1,881.20 / $3,328.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,435.97 / $2,110.87 / $5,728.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,409.46 / $1,878.32 / $3,354.15
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,717.40 / $3,624.11 / $6,113.10
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,719.01 / $12,240.97 / $12,240.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $6,032.00 / $19,003.00