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Wisconsin rates for HCPCS 33017

Perq Prcrd Drg 6yr+ W/O Congenital Car Anomaly

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.77 / $472.95 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.00 / $3,594.00 / $5,962.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.13 / $690.79 / $1,114.22
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.22 / $366.10 / $451.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.94 / $3,364.00 / $7,868.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.22 / $366.10 / $451.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.55 / $611.97 / $857.17
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,951.39 / $1,951.39 / $1,951.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00