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Wisconsin rates for HCPCS 35355

Teaec W/Wo Patch Graft Iliofemoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,201.05 / $1,939.32 / $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
$2,415.00 / $2,822.12 / $4,551.97
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.11 / $1,510.12 / $2,415.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,099.43 / $2,678.00 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.11 / $1,510.12 / $2,415.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,959.75 / $3,026.16 / $3,939.59
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,445.75 / $18,445.75 / $18,445.75
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$456.42 / $456.42 / $456.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00