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Wisconsin rates for HCPCS 48547

Duol Exclusion W/Gastrojejunostomy Pncrtc Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,881.68 / $3,498.66 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,598.10 / $1,881.68 / $5,089.27
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
$1,679.90 / $3,859.86 / $9,950.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,377.64 / $5,115.62 / $7,847.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,962.76 / $5,844.44 / $6,993.70
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,710.46 / $2,178.42 / $3,629.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,710.46 / $2,411.42 / $5,136.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,839.21 / $4,112.76 / $12,896.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.23 / $1,194.63 / $3,658.94
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,710.46 / $2,176.94 / $3,629.69
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.80 / $4,315.47 / $7,075.19
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,040.31 / $16,475.68 / $16,475.68
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,026.93 / $8,409.85 / $12,896.08
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,274.28 / $6,274.28 / $6,274.28
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,652.28 / $8,539.33 / $8,539.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,480.00 / $7,565.00 / $19,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,805.95 / $3,382.16 / $7,589.89