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Wisconsin rates for HCPCS L8670

Vascular Graft Material, Synthetic, Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.05 / $337.05 / $337.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.33 / $337.05 / $561.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.13 / $734.94 / $1,216.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.36 / $621.36 / $821.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.65 / $1,429.80 / $1,429.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.74 / $1,795.93 / $2,789.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.38 / $1,112.75 / $1,264.49
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.66 / $505.58 / $768.35
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.54 / $668.13 / $801.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.24 / $668.13 / $2,890.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.01 / $446.41 / $734.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.66 / $505.58 / $768.35
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.54 / $668.13 / $801.76
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.13 / $1,028.23 / $1,799.63
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.74 / $1,304.94 / $2,890.88
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.38 / $375.74 / $3,327.29
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.13 / $668.13 / $668.13
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.13 / $668.13 / $668.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $399.99 / $592.38