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Wisconsin rates for HCPCS 35189

Rpr/Traumatic Av Fistula Thorax & Abdomen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,756.49 / $2,844.00 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.31 / $1,756.49 / $5,167.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,821.00 / $7,344.00 / $10,382.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,392.44 / $3,280.46 / $8,255.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,528.79 / $4,123.67 / $6,651.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,401.60 / $4,289.76 / $6,211.98
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,390.40 / $2,198.00 / $3,121.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,615.37 / $2,803.00 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.60 / $4,639.41 / $8,218.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.62 / $992.88 / $3,101.30
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,390.40 / $2,198.00 / $3,121.07
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,879.50 / $4,446.39 / $5,767.38
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,066.08 / $27,066.08 / $27,066.08
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,462.48 / $7,056.47 / $10,612.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,236.10 / $7,236.10 / $7,236.10
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,624.73 / $9,612.67 / $9,612.67
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
$1,692.36 / $4,639.41 / $6,868.59