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Wisconsin rates for HCPCS 35650

Bypass graft, with other than vein; axillary-axillary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,949.84 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,202.26 / $2,398.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $18,197.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,819.70 / $5,248.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,818.38 / $4,466.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,951.21 / $3,715.35
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $7,244.36 / $13,489.63
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,454.71 / $2,884.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,818.38 / $9,549.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $2,089.30 / $8,709.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,445.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,344.23 / $3,981.07
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $10,000.00 / $10,000.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $4,786.30 / $10,471.29
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $4,897.79
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $6,456.54 / $6,606.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,995.26 / $4,265.80