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Wisconsin rates for HCPCS 37213

Thrombolysis Art/Venous Infsn W/Image Subsq Tx

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