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Wisconsin rates for HCPCS 35683

Bypass graft; autogenous composite, 3 or more segments of vein from 2 or more locations (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $758.58 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $467.74 / $954.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,128.31 / $13,182.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $724.44 / $2,089.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,096.48 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,174.90 / $1,479.11
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $7,244.36 / $14,454.40
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $977.24 / $1,148.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $2,818.38 / $9,549.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $851.14 / $3,467.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $562.34
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $933.25 / $1,348.96
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,454.71 / $2,454.71
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,905.46 / $13,182.57
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $1,949.84 / $1,949.84
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,570.40 / $2,630.27
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
$457.09 / $812.83 / $1,737.80