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Wisconsin rates for HCPCS 34843

Endovasc Viscer Aorta Repair Fenest 3 Endograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,245.73 / $2,245.73 / $17,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.79 / $2,245.73 / $2,496.36
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
$1,778.35 / $4,022.19 / $11,449.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,118.60 / $7,150.07 / $11,532.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,391.64 / $7,358.54 / $9,888.45
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,245.73 / $2,766.81 / $4,779.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,223.19 / $3,364.00 / $7,868.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,223.19 / $6,017.24 / $11,981.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $5,061.09
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,245.73 / $2,766.81 / $4,779.85
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,464.04 / $4,540.54 / $6,510.39
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,213.08 / $23,213.08 / $23,213.08
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,149.76 / $8,224.79 / $13,264.64
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,061.83 / $12,061.83 / $12,061.83
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,627.61 / $16,762.84 / $16,762.84
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
$2,126.14 / $6,017.24 / $10,462.79