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Wisconsin rates for HCPCS 49020

Drainage Periton Abscess/Local Peritonitis Open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,687.42 / $3,144.89 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,979.00 / $13,297.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,942.40 / $4,607.01 / $7,067.27
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$178.17 / $178.17 / $178.17
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,260.00 / $1,789.09 / $3,359.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,320.69 / $2,037.00 / $4,821.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$726.79 / $726.79 / $726.79
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.80 / $1,721.75 / $3,280.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,880.60 / $3,841.76 / $6,360.39
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,814.27 / $12,879.79 / $12,879.79
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$178.17 / $726.79 / $726.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $6,032.00 / $19,003.00