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Wisconsin rates for HCPCS 33767

Shunt Superior Vena Cava Pulm Artery Both Lungs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,685.61 / $2,729.66 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.08 / $1,685.61 / $4,759.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,712.00 / $12,656.00 / $19,835.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.84 / $3,283.76 / $8,157.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,413.44 / $3,988.88 / $6,433.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,305.03 / $4,116.26 / $5,649.01
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.50 / $2,108.17 / $2,958.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,535.54 / $2,803.00 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,617.98 / $4,101.46 / $7,822.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $940.19 / $3,036.39
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.50 / $2,108.17 / $2,958.18
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,735.85 / $4,224.57 / $5,534.11
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,783.52 / $25,783.52 / $25,783.52
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,362.87 / $6,633.55 / $16,540.23
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,942.48 / $6,942.48 / $6,942.48
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,632.79 / $9,223.83 / $9,223.83
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
$1,598.99 / $4,342.97 / $6,510.94