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Wisconsin rates for HCPCS 33030

Pricardiectomy Stot/Compl W/O Cardpulm Bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,367.48 / $3,839.74 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,712.00 / $12,656.00 / $19,835.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,793.96 / $5,602.12 / $9,036.02
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,877.21 / $2,616.57 / $3,669.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,877.21 / $2,961.12 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,877.21 / $2,616.57 / $3,669.08
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,844.75 / $5,936.89 / $7,776.91
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,198.08 / $36,198.08 / $36,198.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00