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Wisconsin rates for HCPCS 33883

Plmt Prox Xtn Prosth Evasc Rpr Dta 1st Xtn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,307.51 / $2,100.94 / $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
$2,632.17 / $3,075.90 / $4,961.32
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,027.13 / $1,462.92 / $2,026.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,186.56 / $2,803.00 / $7,868.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,027.13 / $1,462.92 / $2,026.85
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,113.80 / $3,264.03 / $4,284.59
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,745.16 / $13,745.16 / $13,745.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00