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Wisconsin rates for HCPCS 47490

Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $676.08 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,317.64 / $13,182.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,000.00 / $1,621.81
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $467.74 / $8,511.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $524.81 / $9,772.37
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $707.95 / $1,096.48
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $8,317.64 / $8,317.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,232.93 / $12,589.25