go back

Wisconsin rates for HCPCS 35112

Dir Rpr Ruptd Aneurysm Splenic Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,901.34 / $3,076.97 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.99 / $1,901.34 / $6,271.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,720.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.62 / $3,694.49 / $9,634.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,816.24 / $4,459.58 / $7,193.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,598.32 / $4,640.28 / $6,522.45
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,504.29 / $2,117.67 / $3,150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.70 / $2,940.21 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,873.90 / $4,922.84 / $8,898.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.28 / $1,073.30 / $3,372.67
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,504.29 / $2,117.67 / $3,150.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,117.40 / $4,813.75 / $6,238.63
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,280.32 / $29,280.32 / $29,280.32
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,663.69 / $7,640.63 / $11,481.28
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,831.00 / $7,831.00 / $7,831.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,842.48 / $10,398.11 / $10,398.11
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
$1,832.80 / $5,327.69 / $7,438.67