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Wisconsin rates for HCPCS 35523

Bypass W/Vein Brachial-Ulnar/-Radial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,483.41 / $2,322.04 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,720.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,882.68 / $3,368.64 / $5,433.50
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.22 / $1,677.27 / $2,234.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.81 / $2,803.00 / $7,868.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.22 / $1,677.27 / $2,234.73
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,349.10 / $3,627.37 / $4,706.85
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,655.45 / $9,655.45 / $9,655.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00