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Wisconsin rates for HCPCS 33877

Repair of thoracoabdominal aortic aneurysm with graft, with or without cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $6,760.83 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $18,197.01 / $28,840.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $10,000.00 / $15,848.93
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $7,413.10 / $14,454.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,570.88 / $9,549.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,888.44 / $8,317.64 / $14,125.38
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $63,095.73 / $63,095.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45