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Wisconsin rates for HCPCS 49460

Obstructive Material Removal From Gi Tube

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.87 / $800.78 / $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
$1,981.56 / $2,315.61 / $3,552.21
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.65 / $577.71 / $1,192.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.65 / $670.63 / $3,242.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.53 / $563.20 / $1,183.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.02 / $741.70 / $2,341.61
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.60 / $227.07 / $227.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,976.00 / $3,827.00 / $5,471.00