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Wisconsin rates for HCPCS 35654

Byp Oth/Thn Vein Axillary-Femoral-Femoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,592.18 / $2,577.87 / $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
$3,201.68 / $3,741.42 / $6,034.77
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,260.29 / $2,001.61 / $2,940.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.55 / $2,857.21 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,260.29 / $2,001.61 / $2,940.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,603.25 / $4,019.82 / $5,220.43
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,807.45 / $16,807.45 / $16,807.45
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$606.29 / $606.29 / $606.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00