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Wisconsin rates for HCPCS 75964

Trluml Baloon Angiop Peripher Ea Addl Art Rs&I

Facilitymedian $302 · 10th–90th $166–$5500%10%10th90th$302Professionalmedian $158 · 10th–90th $126–$2,9510%20%10th90th$158$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $263.03 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $141.25 / $194.98
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $177.83 / $549.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $177.83 / $549.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $2,951.21 / $2,951.21
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $1,584.89 / $1,584.89
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $2,951.21 / $2,951.21