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Wisconsin rates for HCPCS 48552

Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $446.68 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $251.19 / $457.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,943.28 / $13,182.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $416.87 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $660.69 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $512.86 / $912.01
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $302.00 / $8,709.64
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $478.63 / $776.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $309.03 / $5,754.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $389.05 / $1,659.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $501.19 / $776.25
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $1,445.44 / $1,445.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $1,096.48 / $1,659.59
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $870.96 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,897.79 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $316.23 / $851.14