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Wisconsin rates for HCPCS 35621

Byp Oth/Thn Vein Axillary-Femoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,282.47 / $2,065.59 / $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
$2,578.10 / $3,012.72 / $4,859.41
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,009.84 / $1,611.80 / $2,355.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.55 / $2,553.00 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,009.84 / $1,611.80 / $2,355.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,086.50 / $3,221.88 / $4,202.27
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,521.97 / $13,521.97 / $13,521.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00