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Wisconsin rates for HCPCS 47741

Cholecstontrstm Roux-En-Y W/Gastrontrstm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,556.24 / $2,892.69 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.97 / $1,556.24 / $4,191.99
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
$1,386.44 / $3,192.28 / $8,235.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,628.81 / $4,240.55 / $6,505.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.32 / $4,840.68 / $5,786.20
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,414.20 / $1,799.90 / $3,412.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.15 / $1,977.36 / $5,637.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,519.46 / $3,375.35 / $10,649.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.10 / $1,290.26 / $3,230.70
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.15 / $1,768.17 / $3,412.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,668.80 / $3,559.29 / $5,853.62
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,679.11 / $13,607.04 / $13,607.04
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,486.87 / $6,939.35 / $10,649.84
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,192.85 / $5,192.85 / $5,192.85
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,275.12 / $7,064.97 / $7,064.97
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
$1,488.22 / $2,947.94 / $6,582.71