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Wisconsin rates for HCPCS 35881

Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,198.47 / $1,936.44 / $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
$2,430.32 / $2,840.02 / $4,580.85
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$946.70 / $1,504.83 / $2,620.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,095.57 / $8,627.00 / $16,779.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$946.70 / $1,504.83 / $2,620.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,952.60 / $3,015.11 / $3,955.96
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,856.55 / $13,856.55 / $13,856.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,984.00 / $12,373.00 / $15,090.00