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Wisconsin rates for HCPCS 34201

Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,195.02 / $1,929.67 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,948.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,405.09 / $2,810.54 / $4,533.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$943.39 / $1,501.36 / $2,143.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,029.16 / $8,627.00 / $16,779.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$943.39 / $1,501.36 / $2,143.08
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,946.75 / $3,006.08 / $3,919.07
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,856.55 / $13,856.55 / $13,856.55
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,314.53 / $1,314.53 / $1,314.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,984.00 / $12,373.00 / $15,090.00