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Wisconsin rates for HCPCS 35515

Bypass graft, with vein; subclavian-vertebral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,511.89 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,548.82 / $3,162.28
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
$1,202.26 / $2,454.71 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,630.78 / $5,754.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $3,890.45 / $4,365.16
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $7,244.36 / $13,489.63
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,235.94 / $3,715.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $2,818.38 / $9,549.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,818.38 / $11,220.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,819.70
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,090.30 / $5,248.07
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $15,848.93 / $15,848.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $6,165.95 / $11,481.54
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $6,309.57 / $6,309.57
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,165.95 / $8,511.38 / $8,511.38
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
$1,479.11 / $2,570.40 / $5,623.41