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Wisconsin rates for HCPCS 33814

Obltrj Aortopulmonary Septal Defect W/Bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,811.11 / $2,941.47 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.56 / $1,811.11 / $5,113.49
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
$1,426.76 / $3,519.78 / $8,749.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,678.37 / $4,298.47 / $6,933.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,483.90 / $4,430.21 / $5,963.02
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.05 / $2,262.56 / $3,678.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,652.30 / $3,158.93 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.30 / $4,333.58 / $8,378.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $1,016.61 / $3,197.08
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.05 / $2,262.56 / $3,678.98
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,943.85 / $4,545.76 / $5,956.19
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,044.74 / $45,044.74 / $45,044.74
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,543.10 / $7,105.10 / $18,665.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,446.45 / $7,446.45 / $7,446.45
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,676.18 / $9,927.39 / $9,927.39
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
$1,711.14 / $5,060.82 / $7,993.05