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Wisconsin rates for HCPCS 32658

Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,380.38 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $812.83 / $1,995.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $12,882.50 / $22,908.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,288.25 / $3,311.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,041.74 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $2,137.96 / $2,398.83
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $5,128.61 / $9,549.93
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,659.59 / $2,089.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $2,818.38 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,318.26 / $7,762.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $954.99
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,737.80 / $2,691.53
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $12,882.50 / $12,882.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $3,311.31 / $7,762.47
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $3,715.35 / $4,073.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,122.02 / $2,951.21