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Wisconsin rates for HCPCS 33522

Coronary artery bypass, using venous graft(s) and arterial graft(s); 5 venous grafts (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,380.38 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $18,197.01 / $29,512.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,995.26 / $3,235.94
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $7,244.36 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $2,818.38 / $7,943.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,698.24 / $2,398.83
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $4,466.84 / $4,466.84
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$173.78 / $173.78 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45