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Wisconsin rates for HCPCS 33405

Replacement, aortic valve, open, with cardiopulmonary bypass; with prosthetic valve other than homograft or stentless valve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $91.20 / $9,772.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $18,197.01 / $29,512.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $6,309.57 / $10,000.00
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $7,244.36 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $3,890.45 / $9,549.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $5,370.32 / $9,120.11
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $52,480.75 / $52,480.75
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$549.54 / $549.54 / $5,248.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45