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Wisconsin rates for HCPCS 34715

Open axillary/subclavian artery exposure for delivery of endovascular prosthesis by infraclavicular or supraclavicular incision, unilateral (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $562.34 / $14,454.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $812.83 / $1,288.25
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $7,413.10 / $14,454.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $1,202.26 / $2,041.74
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $691.83 / $977.24
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,584.89 / $1,949.84