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Wisconsin rates for HCPCS 35631

Bypass graft, with other than vein; aortoceliac, aortomesenteric, aortorenal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,467.37 / $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
$4,365.16 / $5,128.61 / $8,128.31
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $7,244.36 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $3,388.44 / $7,943.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $4,265.80 / $7,244.36
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $32,359.37 / $32,359.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45