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Wisconsin rates for HCPCS 49421

Insertion Tunnel Intraperitoneal Cath Dial Open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.46 / $3,119.00 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,328.00 / $8,456.00 / $11,448.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.08 / $638.14 / $978.92
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.31 / $302.41 / $643.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.31 / $330.39 / $780.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.47 / $300.82 / $612.29
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.99 / $533.23 / $799.23
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.89 / $6,482.16 / $9,558.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,695.00 / $9,953.00 / $12,631.00