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Wisconsin rates for HCPCS 37214

Cessation Thrombolytic Ther W/Catheter Removal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.81 / $235.96 / $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
$293.77 / $343.29 / $553.71
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.36 / $165.77 / $227.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.49 / $2,683.00 / $4,955.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.36 / $165.77 / $227.38
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.35 / $360.33 / $477.40
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 / $3,088.30 / $4,295.00