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Wisconsin rates for HCPCS 33871

Transvrs A-Arch Grf W/Card Byp Prfd Hypothermia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,836.20 / $6,193.51 / $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
$7,721.70 / $9,023.41 / $14,554.45
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,027.94 / $4,808.18 / $5,918.24
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
$3,027.94 / $4,808.18 / $5,918.24
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,888.16 / $8,072.97 / $11,307.52
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95,175.60 / $95,175.60 / $95,175.60
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,447.81 / $1,447.81 / $1,447.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00