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Wisconsin rates for HCPCS 35572

Harvest of femoropopliteal vein, 1 segment, for vascular reconstruction procedure (eg, aortic, vena caval, coronary, peripheral artery) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $645.65 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,584.89 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $933.25 / $1,479.11
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $7,244.36 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $1,202.26 / $2,041.74
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $776.25 / $1,122.02
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $2,089.30 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,584.89 / $1,949.84