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Wisconsin rates for HCPCS 35341

Teaec W/Wo Patch Graft Mesenteric Celiac/Renal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,617.19 / $2,597.42 / $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
$3,270.16 / $3,821.45 / $6,163.86
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,269.84 / $2,031.19 / $2,481.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,471.65 / $2,678.00 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,269.84 / $2,031.19 / $2,481.98
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,623.40 / $4,050.93 / $5,324.83
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,903.52 / $24,903.52 / $24,903.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00