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Wisconsin rates for HCPCS 49446

Convert Gastrostomy-Gastro-Jejunostomy Tube Perq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.46 / $1,045.78 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.00 / $3,193.00 / $5,962.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,142.86 / $2,504.11 / $3,841.36
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.41 / $722.58 / $1,542.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.41 / $787.50 / $3,242.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.93 / $722.58 / $1,522.22
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.12 / $825.51 / $2,606.19
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.55 / $833.10 / $833.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,781.00 / $3,628.00 / $5,471.00