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Wisconsin rates for HCPCS 35647

Byp Oth/Thn Vein Aortofemoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,812.30 / $2,895.84 / $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
$3,641.43 / $4,255.29 / $6,863.64
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,415.74 / $2,277.67 / $2,940.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.84 / $2,803.00 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,415.74 / $2,277.67 / $2,940.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,924.35 / $4,515.64 / $5,935.72
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,793.28 / $27,793.28 / $27,793.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00