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Wisconsin rates for HCPCS 35876

Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,104.89 / $1,784.77 / $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
$2,223.96 / $2,598.88 / $4,191.89
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.55 / $1,386.84 / $1,995.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.65 / $8,627.00 / $16,779.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.55 / $1,386.84 / $1,995.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,797.25 / $2,775.23 / $3,621.32
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,070.15 / $17,070.15 / $17,070.15
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,618.01 / $1,618.01 / $1,618.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,984.00 / $12,373.00 / $15,090.00