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Wisconsin rates for HCPCS 35142

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, common femoral artery (profunda femoris, superficial femoral)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,511.89 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,630.78 / $5,754.40
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $7,244.36 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $2,818.38 / $9,549.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $3,019.95 / $5,248.07
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $12,882.50 / $12,882.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45