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Wisconsin rates for HCPCS 35501

Bypass graft, with vein; common carotid-ipsilateral internal carotid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,754.23 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,698.24 / $3,467.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $18,197.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,570.40 / $7,585.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $3,981.07 / $6,309.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $4,265.80 / $4,786.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $7,244.36 / $13,489.63
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,548.13 / $4,073.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $3,090.30 / $9,549.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,951.21 / $10,232.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $2,089.30
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,388.44 / $5,754.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $17,378.01 / $17,378.01
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $6,918.31 / $10,232.93
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,918.31 / $6,918.31 / $6,918.31
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,456.54 / $9,332.54 / $9,332.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,754.23 / $6,165.95