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Wisconsin rates for HCPCS 0254T

Endovascular Repair Of Iliac Artery Bifurcation(Eg Aneurysm, Pseudoaneurysm, Trauma, Dissection)Using Bifurcated Endograft From The Common Iliac Arte Ry Into Both The External And Internal Iliac Arte

Insurance Carrier
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,197.36 / $2,197.36 / $2,197.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $70.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,197.36 / $2,197.36 / $2,197.36
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.79 / $833.79 / $2,197.36