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Wisconsin rates for HCPCS 33768

Anastomosis, cavopulmonary, second superior vena cava (List separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $776.25 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $489.78 / $977.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $13,803.84 / $22,387.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $741.31 / $2,137.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,148.15 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,202.26 / $1,380.38
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $7,413.10 / $14,454.40
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,000.00 / $1,174.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $3,388.44 / $9,549.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $851.14 / $2,187.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $575.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $954.99 / $1,380.38
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $2,511.89
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,949.84 / $4,073.80
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,630.27 / $2,691.53
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
$467.74 / $794.33 / $1,778.28