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Wisconsin rates for HCPCS 37212

Thrombolysis Venous Infusion W/Imaging Init Tx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.88 / $656.84 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,979.00 / $6,787.00 / $10,517.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.51 / $952.99 / $1,537.14
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.12 / $455.52 / $634.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.89 / $7,251.10 / $12,631.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.12 / $455.52 / $634.16
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.85 / $992.66 / $1,327.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,011.04 / $9,011.04 / $9,011.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,073.00 / $9,837.00 / $12,062.00