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Wisconsin rates for HCPCS 35372

Teaec W/Wo Patch Graft Deep Profunda Femoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.24 / $1,843.07 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,169.00 / $7,532.89 / $14,073.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,299.66 / $2,687.33 / $4,334.57
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.05 / $1,433.75 / $2,040.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.80 / $7,984.00 / $16,779.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.05 / $1,433.75 / $2,040.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,858.35 / $2,869.58 / $3,746.14
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,858.87 / $9,858.87 / $9,858.87
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$432.80 / $432.80 / $432.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,984.00 / $12,373.00 / $15,090.00