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Wisconsin rates for HCPCS 35303

Thromboendarterectomy, including patch graft, if performed; popliteal artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $2,290.87 / $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
$2,884.03 / $3,388.44 / $5,370.32
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $7,244.36 / $14,454.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $3,388.44 / $9,549.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,818.38 / $4,786.30
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $12,022.64
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$288.40 / $288.40 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45