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Wisconsin rates for HCPCS 49422

Removal of tunneled intraperitoneal catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $426.58 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $309.03 / $758.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,943.28 / $12,589.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $398.11 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $630.96 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $549.54 / $870.96
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $346.74 / $3,090.30
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $457.09 / $870.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $389.05 / $9,772.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $575.44 / $2,290.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $478.63 / $870.96
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $8,912.51 / $8,912.51
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $1,548.82 / $2,290.87
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $1,047.13 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,232.93 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $436.52 / $891.25