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Wisconsin rates for HCPCS 46275

Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.48 / $6,461.00 / $13,255.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,931.00 / $7,344.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,496.76 / $1,749.08 / $2,683.14
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.59 / $619.92 / $1,090.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.88 / $646.10 / $5,198.39
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.74 / $619.92 / $1,090.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.70 / $1,345.69 / $1,937.33
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.56 / $2,986.98 / $7,929.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,103.00 / $7,012.14 / $8,384.00