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Wisconsin rates for HCPCS 35131

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, iliac artery (common, hypogastric, external)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $2,630.27 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $17,378.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,801.89 / $6,025.60
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $7,244.36 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,884.03 / $7,943.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $3,235.94 / $5,495.41
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $23,988.33 / $23,988.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45