go back

Wisconsin rates for HCPCS 76975

Gi Endoscopic Us S&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $362.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.58 / $231.06 / $362.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.54 / $199.73 / $599.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.36 / $336.97 / $516.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.69 / $257.60 / $420.59
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.94 / $213.88 / $338.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $208.38 / $351.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.39 / $391.77 / $1,272.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.11 / $67.92 / $224.37
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $213.88 / $362.09
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.80 / $231.12 / $422.97
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.23 / $514.16 / $514.16
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.60 / $489.90 / $1,272.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.99 / $269.99 / $269.99
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.31 / $666.24 / $666.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.97 / $334.11 / $999.17