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Wisconsin rates for HCPCS 33875

Descending thoracic aorta graft, with or without bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $5,248.07 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,235.94 / $6,456.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $18,197.01 / $28,840.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $4,897.79 / $14,125.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $7,585.78 / $12,302.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $8,128.31 / $9,120.11
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $7,244.36 / $13,489.63
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,370.32 / $6,760.83 / $7,762.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $4,073.80 / $9,332.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $5,370.32 / $19,498.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $3,630.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $6,456.54 / $10,964.78
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $47,863.01 / $47,863.01
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $12,882.50 / $19,054.61
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,182.57 / $13,182.57 / $13,182.57
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,481.54 / $17,782.79 / $17,782.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $5,128.61 / $11,481.54