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Wisconsin rates for HCPCS 36903

Intro Cath Dialysis Circuit W/Tcat Plmt Iv Stent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.78 / $5,551.06 / $14,707.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.06 / $1,647.53 / $7,355.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,080.00 / $17,505.00 / $23,937.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.64 / $5,238.31 / $22,751.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,418.99 / $13,344.00 / $21,523.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.71 / $1,231.56 / $17,314.63
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.37 / $657.14 / $7,885.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.26 / $7,885.38 / $19,754.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,002.86 / $15,395.54 / $29,495.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $3,722.40 / $9,420.14
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.37 / $657.14 / $7,885.38
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.94 / $4,275.39 / $13,497.74
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,239.76 / $7,239.76 / $7,239.76
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.71 / $15,395.54 / $30,583.60
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,079.98 / $24,131.32 / $29,327.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,650.00 / $14,566.00 / $19,562.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.24 / $15,157.21 / $25,601.78