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Wisconsin rates for HCPCS 33688

Closure of single ventricular septal defect, with or without patch; with removal of pulmonary artery band, with or without gusset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $3,548.13 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,238.72 / $4,466.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $18,197.01 / $29,512.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $3,388.44 / $9,772.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $5,248.07 / $8,317.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $5,495.41 / $6,456.54
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $7,244.36 / $13,489.63
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $4,570.88 / $5,370.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $3,548.13 / $9,549.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $3,801.89 / $16,218.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $2,511.89
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $4,466.84 / $7,413.10
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $53,703.18 / $53,703.18
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $8,709.64 / $19,498.45
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,120.11 / $9,120.11 / $9,120.11
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,511.38 / $12,022.64 / $12,302.69
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
$2,089.30 / $3,548.13 / $7,943.28