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Wisconsin rates for HCPCS 33783

Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); with reimplantation of 1 or both coronary ostia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $6,606.93 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $4,073.80 / $11,748.98
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
$3,235.94 / $6,309.57 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $9,549.93 / $15,488.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $10,232.93 / $11,481.54
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $7,413.10 / $14,454.40
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,918.31 / $8,511.38 / $10,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,570.88 / $9,549.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $6,760.83 / $18,197.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $4,570.88
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,754.40 / $8,128.31 / $13,803.84
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $8,317.64 / $100,000.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $16,218.10 / $23,988.33
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,982.44 / $16,982.44 / $16,982.44
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,135.61 / $22,387.21 / $22,908.68
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
$3,890.45 / $6,606.93 / $14,791.08