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Wisconsin rates for HCPCS 35102

Dir Rpr Aneurysm Abdom Aorta W/Iliac Vessels

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.88 / $3,539.43 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,720.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,412.78 / $5,156.68 / $8,317.54
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,730.39 / $2,752.57 / $3,931.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,007.44 / $3,364.00 / $8,489.69
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,730.39 / $2,752.57 / $3,931.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,578.25 / $5,525.37 / $7,200.23
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,737.12 / $33,737.12 / $33,737.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00