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Wisconsin rates for HCPCS 33870

Transverse Arch Graft, With Cardiopulmonary Bypass

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,015.88 / $7,030.03 / $11,339.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,538.34 / $7,114.35 / $9,605.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,815.00 / $31,534.00 / $31,534.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $70.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,014.09 / $10,014.09 / $10,014.09
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,013.99 / $31,534.00 / $31,534.00