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Wisconsin rates for HCPCS 48540

Int Anast Pancreatic Cyst Gi Tract Roux-En-Y

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.40 / $2,557.98 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.77 / $1,375.40 / $3,715.39
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
$1,227.43 / $2,821.32 / $7,275.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,202.58 / $3,742.47 / $5,741.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,454.27 / $4,275.49 / $5,113.24
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,249.80 / $1,609.22 / $2,695.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,228.36 / $1,762.08 / $4,821.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,355.28 / $3,029.24 / $9,422.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.10 / $1,165.50 / $2,863.83
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,249.80 / $1,595.66 / $2,695.82
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,364.60 / $3,153.59 / $5,172.81
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,489.16 / $12,039.04 / $12,039.04
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,209.94 / $6,147.30 / $9,422.95
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,587.83 / $4,587.83 / $4,587.83
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,473.80 / $6,243.29 / $6,243.29
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
$1,320.97 / $2,609.73 / $5,569.45