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Wisconsin rates for HCPCS 34841

Endovasc Viscer Aorta Repair Fenest 1 Endograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,869.60 / $1,869.60 / $17,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.75 / $1,659.91 / $1,943.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,712.00 / $12,656.00 / $19,835.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.44 / $3,348.54 / $9,092.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,029.81 / $4,709.14 / $7,595.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,551.33 / $4,847.12 / $6,513.17
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.87 / $1,978.09 / $3,148.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.91 / $3,148.52 / $7,868.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,806.31 / $4,639.81 / $7,892.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $3,333.79
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.87 / $1,978.09 / $3,148.52
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,951.29 / $3,595.68 / $5,155.62
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,320.62 / $19,320.62 / $19,320.62
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,621.52 / $6,846.75 / $11,040.16
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,945.21 / $7,945.21 / $7,945.21
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,635.31 / $11,041.80 / $11,041.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,751.81 / $4,290.89 / $7,231.21