go back

Wisconsin rates for HCPCS 33852

Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; without cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,691.53 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,659.59 / $3,388.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $18,197.01 / $29,512.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,511.89 / $7,244.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $3,981.07 / $6,309.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $4,168.69 / $5,248.07
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $7,244.36 / $13,489.63
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,467.37 / $4,073.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $3,388.44 / $9,549.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,884.03 / $12,022.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,819.70
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,388.44 / $5,623.41
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $25,118.86 / $25,118.86
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $6,456.54 / $16,982.44
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,918.31 / $6,918.31 / $6,918.31
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,165.95 / $9,120.11 / $9,120.11
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
$1,584.89 / $2,691.53 / $6,025.60