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Wisconsin rates for HCPCS 35626

Bypass graft, with other than vein; aortosubclavian, aortoinnominate, or aortocarotid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $3,019.95 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $4,365.16 / $7,079.46
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $7,244.36 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,311.31 / $9,549.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,801.89 / $6,309.57
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $28,183.83 / $28,183.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45