go back

Wisconsin rates for HCPCS 33523

Coronary artery bypass, using venous graft(s) and arterial graft(s); 6 or more venous grafts (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$972.32 / $1,565.17 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.87 / $972.32 / $2,773.49
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
$773.96 / $1,902.06 / $4,712.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,944.62 / $2,272.44 / $3,665.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,321.70 / $2,358.23 / $3,120.62
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.19 / $1,220.35 / $3,056.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$881.92 / $2,803.00 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.83 / $2,347.31 / $4,567.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $1,107.91 / $1,948.09
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.19 / $1,220.35 / $3,056.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,569.75 / $2,423.94 / $3,170.54
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,655.88 / $3,655.88 / $3,655.88
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.72 / $3,873.45 / $10,057.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,010.34 / $4,010.34 / $4,010.34
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,553.97 / $5,284.48 / $5,284.48
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
$937.63 / $2,564.40 / $3,799.97