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Wisconsin rates for HCPCS 35697

Rimpltj Visc Art Infrarnl Aortic Prosth Ea Art

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.22 / $274.23 / $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
$338.82 / $395.94 / $638.64
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.07 / $214.77 / $443.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.08 / $2,429.00 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.07 / $214.77 / $443.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.20 / $429.58 / $555.80
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.00 / $732.00 / $732.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00