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Wisconsin rates for HCPCS 34847

Viscer And Infrarenal Abdom Aorta 3 Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,552.11 / $2,552.11 / $17,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.79 / $2,552.11 / $2,836.85
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
$1,918.86 / $4,570.93 / $12,354.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,473.46 / $11,070.50 / $17,856.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,137.39 / $11,394.06 / $15,311.05
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,552.11 / $3,786.66 / $7,401.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,557.15 / $4,096.39 / $7,868.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,326.21 / $7,744.36 / $16,200.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $7,836.66
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,552.11 / $3,786.66 / $7,401.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,006.02 / $5,539.25 / $7,942.39
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,195.64 / $28,195.64 / $28,195.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,825.83 / $9,061.20 / $16,111.76
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,676.72 / $18,676.72 / $18,676.72
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,649.60 / $25,955.85 / $25,955.85
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
$2,283.11 / $8,477.75 / $15,229.61