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Wisconsin rates for HCPCS 33475

Replacement Pulmonary Valve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,753.87 / $4,454.26 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,526.37 / $2,753.87 / $7,837.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,080.00 / $17,505.00 / $23,937.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,184.39 / $5,357.80 / $13,299.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,561.71 / $6,499.30 / $10,483.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,761.38 / $6,713.61 / $8,923.04
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,177.64 / $3,443.86 / $4,843.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,375.60 / $3,839.00 / $8,416.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,625.80 / $6,596.13 / $12,835.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.70 / $1,552.94 / $4,805.77
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,177.64 / $3,443.86 / $4,843.33
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,440.80 / $6,857.28 / $9,026.11
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,050.24 / $55,050.24 / $55,050.24
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,853.85 / $10,884.70 / $22,658.53
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,318.22 / $11,318.22 / $11,318.22
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,110.73 / $15,044.11 / $15,044.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,625.80 / $6,633.77 / $10,675.90