go back

Wisconsin rates for HCPCS 47715

Excision of choledochal cyst

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,405.52 / $2,613.31 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.53 / $1,405.52 / $2,613.31
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
$1,249.06 / $2,883.12 / $7,433.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,280.08 / $3,833.03 / $5,879.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,459.88 / $4,377.06 / $5,226.46
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,276.89 / $1,584.12 / $2,730.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,274.41 / $1,748.68 / $4,821.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.11 / $3,021.07 / $9,613.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.40 / $901.38 / $2,774.41
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,274.41 / $1,585.60 / $2,730.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,409.00 / $3,212.80 / $5,287.36
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.73 / $12,283.12 / $12,283.12
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,241.67 / $6,258.90 / $9,613.04
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,686.93 / $4,686.93 / $4,686.93
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,473.80 / $6,381.48 / $6,381.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $6,032.00 / $19,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.71 / $2,520.40 / $5,648.66