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Wisconsin rates for HCPCS C9779

Endoscopic Submucosal Dissection (Esd) Including Endoscopy Or Colonoscopy Mucosal Closure When Performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,378.40 / $6,461.00 / $16,891.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,579.61 / $6,579.61 / $6,579.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.00 / $3,193.00 / $5,962.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.76 / $696.76 / $696.76
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,579.61 / $6,579.61 / $6,579.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,496.00 / $6,669.00 / $9,727.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,579.61 / $6,579.61 / $6,579.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.76 / $696.76 / $696.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $7,280.00 / $8,384.00