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Wisconsin rates for HCPCS 33697

Compl Rpr T-Fallot W/Pulm Atresia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,422.44 / $3,919.93 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,368.83 / $2,422.44 / $6,863.87
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
$1,921.96 / $4,723.26 / $11,723.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,891.28 / $5,715.85 / $9,219.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,310.15 / $5,910.82 / $7,844.00
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,916.41 / $3,034.88 / $4,300.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $3,583.00 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,333.33 / $5,975.07 / $11,284.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.52 / $1,769.63 / $4,495.10
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,916.41 / $3,034.88 / $4,300.22
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,939.65 / $6,083.43 / $7,946.81
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60,275.28 / $60,275.28 / $60,275.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,393.01 / $9,569.25 / $21,818.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,977.48 / $9,977.48 / $9,977.48
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,034.45 / $13,245.14 / $13,245.14
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
$2,310.17 / $5,845.16 / $9,794.93