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Wisconsin rates for HCPCS 37213

Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during course of thrombolytic therapy, including follow-up catheter contrast injection, position change, or exchange, when performed;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.86 / $447.89 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.89 / $650.77 / $1,049.67
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.97 / $315.48 / $431.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.99 / $2,683.00 / $4,955.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.97 / $315.48 / $431.76
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.40 / $678.50 / $907.76
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,984.00 / $7,984.00 / $7,984.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,367.00 / $3,068.00 / $4,985.00