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Wisconsin rates for HCPCS 33852

Rpr Hypoplstc A-Arch W/Agrft/Prostc W/O Bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,663.34 / $2,700.45 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.11 / $1,663.34 / $4,689.46
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
$1,285.33 / $3,232.56 / $8,036.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,376.50 / $3,945.70 / $6,364.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,280.38 / $4,067.47 / $5,421.16
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,320.22 / $2,077.98 / $3,675.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,516.95 / $2,803.00 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,594.15 / $3,954.00 / $7,694.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $939.62 / $2,960.37
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,320.22 / $2,077.98 / $3,675.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,702.70 / $4,173.38 / $5,468.52
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,451.84 / $25,451.84 / $25,451.84
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,334.87 / $6,524.75 / $16,901.89
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,839.12 / $6,839.12 / $6,839.12
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,130.53 / $9,114.50 / $9,114.50
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
$1,565.94 / $3,954.00 / $6,407.61