go back

Wisconsin rates for HCPCS 33405

Rplcmt Prost Aortic Valve Open Xcp Homogrf/Stent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.99 / $4,348.89 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,080.00 / $17,505.00 / $23,937.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,425.64 / $6,340.29 / $10,226.67
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,126.12 / $3,361.06 / $4,706.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,319.41 / $3,839.00 / $9,547.50
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,126.12 / $3,361.06 / $4,706.22
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,353.70 / $6,722.78 / $8,807.21
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,823.63 / $53,823.63 / $53,823.63
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,013.95 / $1,013.95 / $1,013.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00