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Wisconsin rates for HCPCS 33858

As-Aort Grf W/Card Byp F/Aortic Dissection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,000.17 / $6,461.30 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,080.00 / $17,505.00 / $23,937.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,048.80 / $9,405.66 / $15,171.00
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,158.86 / $5,013.45 / $6,174.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,678.00 / $4,096.39 / $7,868.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,158.86 / $5,013.45 / $6,174.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,100.27 / $8,423.27 / $11,798.17
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80,123.82 / $80,123.82 / $80,123.82
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,510.64 / $1,510.64 / $1,510.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00