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Wisconsin rates for HCPCS 78262

Gastroesophageal Reflux Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $343.42 / $464.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.03 / $343.42 / $618.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.56 / $354.37 / $1,242.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.97 / $704.51 / $1,111.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.77 / $793.47 / $901.68
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.63 / $261.89 / $457.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.63 / $264.08 / $1,027.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.98 / $486.50 / $1,503.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $185.73 / $439.22
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.63 / $261.89 / $457.69
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.20 / $526.91 / $952.42
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,229.45 / $1,229.45 / $1,229.45
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.19 / $1,171.95 / $1,503.61
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.75 / $600.75 / $600.75
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.17 / $1,413.88 / $1,413.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.98 / $486.50 / $1,027.21