go back

Wisconsin rates for HCPCS 34203

Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.29 / $1,797.03 / $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
$2,240.17 / $2,617.83 / $4,222.47
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$878.55 / $1,393.90 / $1,978.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,016.42 / $8,627.00 / $16,779.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$878.55 / $1,393.90 / $1,978.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,811.55 / $2,797.31 / $3,646.24
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
$8,627.00 / $12,373.00 / $15,090.00