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Wisconsin rates for HCPCS 33516

Coronary artery bypass, vein only; 6 or more coronary venous grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,195.44 / $5,165.85 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,786.27 / $3,195.44 / $9,796.00
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
$2,531.92 / $6,219.00 / $15,454.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,434.90 / $7,519.69 / $12,128.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,362.28 / $7,774.89 / $10,340.20
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,525.53 / $3,998.14 / $5,596.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,525.53 / $3,998.14 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,058.07 / $7,643.14 / $14,873.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.66 / $1,812.16 / $5,611.90
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,525.53 / $3,998.14 / $5,596.42
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,160.35 / $7,968.37 / $10,452.95
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57,709.46 / $57,709.46 / $57,709.46
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,463.07 / $12,612.45 / $25,739.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,152.46 / $13,152.46 / $13,152.46
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,729.96 / $17,422.23 / $17,422.23
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
$3,045.02 / $7,698.97 / $12,424.12