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Open Biopsy Of The Pancreas

Wisconsin rates for HCPCS 48100

Takes a tissue sample from the pancreas during an operation in which the abdomen is open, using a fine needle, a core needle, or by cutting out a small wedge. Sampling the gland directly is done when an abnormality is found and its nature has to be established. The sample goes to a laboratory to be examined under a microscope.

Facilitymedian $7,586 · 10th–90th $1,318$13,8040%10%10th90th$7,586Professionalmedian $1,995 · 10th–90th $1,096$3,0900%10%10th90th$1,995$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,737.80
Typical High
$14,454.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,128.31
Typical High
$13,803.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,570.40
Typical High
$4,168.69
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,202.26
Typical High
$3,388.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,318.26
Typical High
$6,309.57
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,737.80
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,995.26
Typical High
$3,090.30
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$7,943.28
Typical High
$7,943.28
Security Health
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$6,760.83
Typical High
$19,498.45