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Wisconsin rates for HCPCS 47490

Cholecystostomy Prq W/Imaging & Catheter Plmt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.09 / $680.02 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,169.00 / $8,139.00 / $10,914.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.37 / $1,007.75 / $1,545.91
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.14 / $459.00 / $678.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.70 / $518.95 / $9,023.60
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.14 / $456.59 / $674.09
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.20 / $789.80 / $1,374.56
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.15 / $8,223.00 / $8,223.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,953.00 / $12,062.00