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Wisconsin rates for HCPCS 33775

Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with removal of pulmonary band

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $3,548.13 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,187.76 / $4,466.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $13,803.84 / $21,877.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $3,311.31 / $9,549.93
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 / $6,918.31
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
$2,089.30 / $3,801.89 / $15,848.93
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 / $24,547.09
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
$8,317.64 / $12,022.64 / $12,022.64
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