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Wisconsin rates for HCPCS 33496

Rpr Non-Struct Prostc Valve Dysfunction W/Bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,978.26 / $3,204.58 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.96 / $1,978.26 / $5,595.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,712.00 / $12,656.00 / $19,835.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,562.75 / $3,839.27 / $9,552.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,996.47 / $4,670.18 / $7,532.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,706.09 / $4,819.05 / $6,426.84
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,566.69 / $2,471.09 / $4,462.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.39 / $3,364.00 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.13 / $4,733.16 / $9,161.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.67 / $1,101.26 / $3,494.37
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,566.69 / $2,471.09 / $4,462.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,193.45 / $4,931.18 / $6,478.98
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,465.51 / $39,465.51 / $39,465.51
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,766.30 / $7,768.85 / $18,601.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,129.35 / $8,129.35 / $8,129.35
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,276.54 / $10,798.64 / $10,798.64
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
$1,902.13 / $5,522.68 / $8,766.86