go back

Wisconsin rates for HCPCS 35303

Teaec W/Graft Popliteal Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,446.55 / $2,313.73 / $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
$2,878.18 / $3,363.38 / $5,425.01
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,131.16 / $1,817.56 / $2,587.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.72 / $2,803.00 / $7,868.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,131.16 / $1,817.56 / $2,587.12
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,336.10 / $3,607.30 / $4,693.28
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,362.94 / $12,362.94 / $12,362.94
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$544.05 / $544.05 / $544.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.00 / $6,163.00 / $19,003.00