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Wisconsin rates for HCPCS 33647

Repair of atrial septal defect and ventricular septal defect, with direct or patch closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,467.37 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,137.96 / $6,309.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $18,197.01 / $28,840.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $3,235.94 / $9,332.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $5,011.87 / $8,128.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $5,370.32 / $6,456.54
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $7,244.36 / $13,489.63
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $4,466.84 / $5,248.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $3,548.13 / $9,549.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $3,715.35 / $15,488.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $2,398.83
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $4,265.80 / $7,244.36
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $52,480.75 / $52,480.75
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $8,511.38 / $21,379.62
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,912.51 / $8,912.51 / $8,912.51
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,585.78 / $11,748.98 / $11,748.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $3,467.37 / $7,762.47