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Wisconsin rates for HCPCS 35521

Bypass W/Vein Axillary-Femoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,431.49 / $2,318.56 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.85 / $1,431.49 / $4,792.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,720.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.08 / $2,563.86 / $6,725.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,878.18 / $3,363.38 / $5,425.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,957.90 / $3,495.66 / $4,964.82
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.52 / $1,801.96 / $2,550.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,315.98 / $2,625.00 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,407.44 / $3,739.09 / $6,683.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.27 / $983.98 / $2,613.37
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.52 / $1,801.96 / $2,550.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,345.85 / $3,622.35 / $4,699.72
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,151.18 / $15,151.18 / $15,151.18
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,006.63 / $5,667.85 / $10,151.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,894.98 / $5,894.98 / $5,894.98
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,264.67 / $7,833.23 / $7,833.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.28 / $3,739.09 / $5,801.52