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Wisconsin rates for HCPCS 34203

Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,778.28 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,630.27 / $4,168.69
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $7,244.36 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $9,772.37 / $16,595.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,187.76 / $3,715.35
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $13,803.84 / $13,803.84
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$912.01 / $912.01 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $13,803.84 / $17,378.01