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Wisconsin rates for HCPCS 34704

Evasc Rpr Dplmnt Aorto-Un-Iliac Ndgft Rpt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,675.53 / $4,299.05 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,080.00 / $18,175.43 / $28,720.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,362.57 / $6,266.58 / $10,107.77
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,101.76 / $3,024.59 / $4,136.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $3,365.10 / $7,868.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,101.76 / $3,024.59 / $4,136.71
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,338.10 / $6,698.69 / $8,754.89
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,168.03 / $28,168.03 / $28,168.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00