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Wisconsin rates for HCPCS 35654

Bypass graft, with other than vein; axillary-femoral-femoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,570.40 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,715.35 / $6,025.60
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $7,244.36 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $3,388.44 / $9,549.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $3,162.28 / $5,370.32
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $16,218.10 / $16,218.10
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$323.59 / $323.59 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45