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Wisconsin rates for HCPCS 36572

Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; younger than 5 years of age

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.45 / $485.24 / $1,894.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.95 / $312.08 / $581.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.91 / $504.17 / $1,926.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.44 / $1,166.76 / $1,881.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.85 / $528.86 / $1,488.70
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.84 / $186.29 / $723.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.63 / $788.61 / $4,514.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.90 / $1,305.32 / $2,291.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $348.53 / $870.05
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.84 / $186.29 / $723.97
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.19 / $404.78 / $1,242.34
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.75 / $463.75 / $463.75
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.68 / $1,305.32 / $2,716.80
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.20 / $411.20 / $2,025.98
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.12 / $2,093.31 / $2,587.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,367.00 / $3,088.30 / $4,295.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.69 / $1,353.72 / $2,162.78