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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 October 2026.

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

$269

Typical facility fee. In Wisconsin, October 2026.

Insurers have agreed to pay about $269 for this service. Most negotiated rates run $191 to $589.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $302 · 10th to 90th $166 to $977Professionalmedian $191 · 10th to 90th $170 to $5,248
$200$500$1K$2K$5Kfacility $302professional $191

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$269.15
Median
$302.00
Typical High
$457.09
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$154.88
Median
$190.55
Typical High
$190.55
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$93.33
Median
$112.20
Typical High
$114.82
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$61.66
Median
$75.86
Typical High
$77.62
DeanCare
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$977.24
Typical High
$977.24
Medica
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$977.24
Typical High
$1,819.70
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,479.11
Median
$5,248.07
Typical High
$5,248.07
Prevea360
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$977.24
Typical High
$977.24

Where Wisconsin sits

The same service costs 173.8 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· 14th of 33

$269

TN $5,248SC $30.20

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.