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Wisconsin rates for HCPCS 33504

Rpr Anom Coronary Art Pulm Art Origin Grf W/Byp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,743.34 / $2,832.82 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.29 / $1,743.34 / $4,915.67
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
$1,365.69 / $3,387.22 / $8,422.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,542.30 / $4,139.46 / $6,676.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,392.16 / $4,265.04 / $5,688.77
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,384.93 / $2,177.31 / $3,925.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,590.98 / $2,989.05 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,671.05 / $4,142.97 / $8,061.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $965.60 / $3,105.79
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,384.93 / $2,177.31 / $3,925.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,834.65 / $4,377.14 / $5,734.14
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,681.36 / $31,681.36 / $31,681.36
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,448.27 / $6,836.60 / $18,750.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,167.52 / $7,167.52 / $7,167.52
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,423.65 / $9,557.18 / $9,557.18
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
$1,425.73 / $4,101.85 / $6,716.12