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Wisconsin rates for HCPCS 33858

Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic dissection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $6,456.54 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $18,197.01 / $29,512.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $9,332.54 / $15,135.61
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $7,762.47 / $14,454.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,073.80 / $9,549.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $7,762.47 / $10,964.78
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $8,128.31 / $77,624.71
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$812.83 / $812.83 / $7,762.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45