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Wisconsin rates for HCPCS 35141

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, common femoral artery (profunda femoris, superficial femoral)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,041.74 / $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
$2,570.40 / $3,019.95 / $4,786.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $7,244.36 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $2,818.38 / $7,943.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,511.89 / $4,265.80
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $10,715.19 / $10,715.19
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$257.04 / $257.04 / $1,071.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45