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Wisconsin rates for HCPCS 35633

Bypass Graft W/Other Than Vein Ilio-Mesenteric

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,306.83 / $3,720.28 / $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
$4,632.66 / $5,413.63 / $8,731.99
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,818.81 / $2,597.38 / $3,578.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,984.15 / $3,364.00 / $7,868.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,818.81 / $2,597.38 / $3,578.03
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,764.15 / $5,812.43 / $7,567.09
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,498.87 / $35,498.87 / $35,498.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00