go back

Wisconsin rates for HCPCS 37230

Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $18,197.01 / $29,512.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,988.33 / $28,183.83 / $44,668.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,290.87 / $31,622.78
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $7,943.28 / $15,135.61
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,344.23 / $25,118.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $12,302.69 / $21,379.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,471.29 / $19,952.62 / $44,668.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $11,748.98
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $64,565.42
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48,977.88 / $60,255.96 / $60,255.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,378.01 / $18,197.01 / $19,952.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $7,762.47 / $39,810.72