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Wisconsin rates for HCPCS 35302

Teaec W/Graft Superficial Femoral Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,309.50 / $2,106.79 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $10,196.00 / $17,436.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,629.47 / $3,072.74 / $4,956.22
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,029.99 / $1,645.11 / $2,339.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,192.94 / $2,803.00 / $7,868.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,029.99 / $1,645.11 / $2,339.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,126.15 / $3,283.10 / $4,286.20
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,281.77 / $11,281.77 / $11,281.77
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$495.17 / $495.17 / $495.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00