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Wisconsin rates for HCPCS 47701

Portoeneterostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,828.74 / $3,393.54 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.48 / $1,828.74 / $3,393.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,979.00 / $13,297.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,619.94 / $3,751.26 / $9,681.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,257.79 / $4,975.57 / $7,632.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,952.04 / $5,675.96 / $6,792.99
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.06 / $2,139.63 / $3,592.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.06 / $2,318.89 / $5,733.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,816.47 / $4,047.73 / $12,510.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.23 / $1,173.24 / $3,586.17
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.06 / $2,139.63 / $3,592.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,133.20 / $4,178.64 / $6,872.14
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,974.88 / $15,986.08 / $15,986.08
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,923.06 / $8,161.35 / $12,510.56
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,104.78 / $6,104.78 / $6,104.78
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,482.45 / $8,294.23 / $8,294.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.00 / $4,917.00 / $19,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,795.50 / $3,574.67 / $8,831.89