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Wisconsin rates for HCPCS 35331

Teaec W/Wo Patch Graft Abdominal Aorta

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,709.72 / $2,735.42 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.57 / $1,709.72 / $4,970.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $10,196.00 / $17,436.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,362.67 / $3,062.19 / $7,977.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,420.65 / $3,997.30 / $6,447.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,309.90 / $4,146.51 / $5,824.92
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,337.31 / $2,147.34 / $2,613.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.30 / $2,678.00 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,673.97 / $4,305.89 / $7,949.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $963.38 / $2,996.10
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,337.31 / $2,147.34 / $2,613.84
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,759.25 / $4,260.71 / $5,574.78
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,098.40 / $26,098.40 / $26,098.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,380.23 / $6,741.20 / $10,231.20
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,991.90 / $6,991.90 / $6,991.90
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,211.22 / $9,291.62 / $9,291.62
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
$1,632.59 / $4,491.99 / $6,656.32