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Wisconsin rates for HCPCS 35875

Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.71 / $1,123.31 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,948.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.55 / $1,644.83 / $2,653.06
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.17 / $873.59 / $1,417.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.26 / $8,627.00 / $16,779.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.17 / $873.59 / $1,417.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.40 / $1,742.42 / $2,284.90
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,070.15 / $17,070.15 / $17,070.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,627.00 / $12,373.00 / $15,090.00