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Wisconsin rates for HCPCS 33871

Transverse aortic arch graft, with cardiopulmonary bypass, with profound hypothermia, total circulatory arrest and isolated cerebral perfusion with reimplantation of arch vessel(s) (eg, island pedicle or individual arch vessel reimplantation)

Facilitymedian $16,982 · 10th–90th $6,166–$28,8400%10%10th90th$16,982Professionalmedian $7,413 · 10th–90th $4,786–$10,4710%20%10th90th$7,413$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $6,165.95 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $18,197.01 / $29,512.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $9,120.11 / $14,454.40
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $7,762.47 / $14,454.40
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $4,570.88 / $9,549.93
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $4,570.88 / $4,570.88
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $7,413.10 / $10,471.29
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $7,762.47 / $93,325.43
Quartz
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$776.25 / $776.25 / $9,332.54
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,848.93 / $15,848.93 / $15,848.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $7,079.46 / $19,498.45