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Wisconsin rates for HCPCS 49325

Laps W/Revision Intraperitoneal Catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.59 / $8,243.00 / $17,823.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,139.00 / $10,914.00 / $23,240.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.27 / $1,189.92 / $1,825.37
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$46.23 / $46.23 / $46.23
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.72 / $492.80 / $876.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.73 / $505.80 / $1,081.97
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,537.78 / $1,537.78 / $1,537.78
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.34 / $493.01 / $876.86
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.04 / $982.06 / $1,471.96
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.38 / $1,015.93 / $16,223.75
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$46.23 / $101.59 / $1,537.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,628.00 / $11,799.00 / $13,748.00