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Wisconsin rates for HCPCS 33875

Descending Thoracic Aorta Graft W/Wo Bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,233.35 / $5,225.85 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,785.15 / $3,233.35 / $9,169.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,080.00 / $17,505.00 / $23,937.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,566.27 / $5,791.07 / $15,082.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,525.01 / $7,624.99 / $12,298.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,412.95 / $7,887.59 / $10,452.43
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,554.86 / $4,050.36 / $5,725.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,496.00 / $4,050.36 / $9,231.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,082.90 / $7,732.47 / $15,046.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.04 / $1,828.79 / $5,690.04
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,554.86 / $4,050.36 / $5,725.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,241.60 / $8,093.84 / $10,604.48
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49,441.76 / $49,441.76 / $49,441.76
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,527.75 / $12,759.85 / $19,402.80
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,219.95 / $13,219.95 / $13,219.95
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,176.56 / $17,674.74 / $17,674.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,082.90 / $7,732.47 / $12,555.91