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Wisconsin rates for HCPCS 35305

Teaec W/Graft Tibial/Peroneal Art 1st Vessel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,429.30 / $2,305.42 / $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
$2,880.88 / $3,366.54 / $5,430.10
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,127.08 / $1,606.60 / $2,220.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,306.93 / $2,803.00 / $7,868.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,127.08 / $1,606.60 / $2,220.84
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,329.60 / $3,597.26 / $4,698.49
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,378.96 / $12,378.96 / $12,378.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00