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Wisconsin rates for HCPCS 35634

Bypass Graft W/Other Than Vein Iliorenal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,055.48 / $3,326.02 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,204.14 / $2,055.48 / $5,635.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,720.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,634.11 / $3,971.02 / $9,952.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,124.43 / $4,819.72 / $7,774.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,808.63 / $5,016.29 / $6,613.88
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,626.05 / $2,287.75 / $3,196.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,773.88 / $3,196.47 / $7,868.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,983.48 / $5,431.80 / $9,217.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.28 / $1,181.27 / $3,681.97
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,626.05 / $2,287.75 / $3,196.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,370.25 / $5,204.18 / $6,744.15
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,662.40 / $31,662.40 / $31,662.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,879.53 / $8,165.45 / $12,414.72
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,470.07 / $8,470.07 / $8,470.07
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,552.28 / $11,240.71 / $11,240.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,983.48 / $4,971.37 / $8,048.94