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Wisconsin rates for HCPCS 49451

Replace Duodenostomy/Jejunostomy Tube Perq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.41 / $728.06 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,419.00 / $4,441.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,713.03 / $2,001.81 / $3,070.83
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.29 / $563.82 / $1,204.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.29 / $621.40 / $3,242.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.71 / $563.82 / $1,204.08
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.36 / $652.50 / $2,059.98
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.61 / $1,003.98 / $1,003.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,781.00 / $3,628.00 / $5,471.00