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Wisconsin rates for HCPCS 35142

Dir Rpr Ruptd Aneurysm & Grf Common Femoral Art

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,545.82 / $2,493.09 / $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
$3,104.36 / $3,627.69 / $5,851.33
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,218.83 / $1,941.65 / $2,382.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,411.39 / $2,678.00 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,218.83 / $1,941.65 / $2,382.29
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,515.50 / $3,884.32 / $5,058.80
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,320.00 / $13,320.00 / $13,320.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00