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Wisconsin rates for HCPCS 33647

Rpr Atrial & Ventric Septal Dfct Dir/Patch Cls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.73 / $3,471.39 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.43 / $2,143.73 / $6,071.07
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
$1,691.92 / $4,179.14 / $10,373.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,332.59 / $5,062.97 / $8,166.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,931.40 / $5,232.49 / $6,949.10
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.12 / $2,684.73 / $3,885.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,956.36 / $3,364.00 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,042.32 / $5,128.37 / $9,979.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.28 / $1,231.78 / $3,813.18
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.12 / $2,684.73 / $3,885.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,485.95 / $5,382.84 / $7,034.83
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,330.16 / $53,330.16 / $53,330.16
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,003.64 / $8,462.65 / $21,307.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,828.26 / $8,828.26 / $8,828.26
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,258.07 / $11,725.15 / $11,725.15
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
$1,899.03 / $5,403.42 / $7,995.84