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Imaging Guidance For Adding A Graft Extension

Wisconsin rates for HCPCS 75953

Covers the live X-ray guidance and the radiologist's interpretation while an extra length of stent graft is added to a repair already sitting in the main artery of the abdomen or in a pelvic artery. The extension lengthens the sealed section so blood stops pushing into the weakened wall.

Rates data updated July 2026.

How much does Imaging Guidance For Adding A Graft Extension cost?

$191

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $302 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$191$170 to $234
FacilityA hospital or hospital-owned outpatient department$302$234 to $457

How much rates vary

Facilitymedian $302 · 10th to 90th $138 to $977Professionalmedian $191 · 10th to 90th $151 to $5,248
$100$200$500$1K$2K$5Kfacility $302professional $191

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$316.23
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$169.82
Typical High
$234.42
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$138.04
Typical High
$977.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$138.04
Typical High
$977.24
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$5,248.07
Typical High
$5,248.07
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$138.04
Typical High
$977.24
Quartz
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$1,819.70
Typical High
$1,819.70
Quartz
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$5,248.07
Typical High
$5,248.07

Where Wisconsin sits

The same service costs 58.9 times more in Tennessee than in South Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 13th of 31

$191

TN $5,248SC $89.13

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.