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Wisconsin rates for HCPCS 34802

Endovascular Repair Of Infrarenal Abdominal Aortic Aneurysm Or Dissection; Using Modular Bifurcated Prosthesis

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,989.02 / $3,492.90 / $5,633.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,167.66 / $2,736.53 / $5,717.75
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,674.67 / $2,627.30 / $5,165.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,673.60 / $2,520.00 / $5,165.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,438.00 / $8,345.00 / $8,345.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $58.40
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,674.67 / $2,627.30 / $5,165.30
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,062.97 / $5,062.97 / $5,062.97
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,169.60 / $8,345.00 / $8,345.00