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Wisconsin rates for HCPCS 35631

Byp Oth/Thn Vein Aortoceliac Aortomsn Aortornl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.57 / $3,479.45 / $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
$4,346.10 / $5,078.76 / $8,191.87
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,701.06 / $2,711.78 / $3,875.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,972.99 / $3,324.80 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,701.06 / $2,711.78 / $3,875.33
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,516.50 / $5,430.02 / $7,092.28
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,213.44 / $33,213.44 / $33,213.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00