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Wisconsin rates for HCPCS 33884

Plmt Prox Xtn Prosth Evasc Rpr Dta Ea Prox Xtn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.39 / $737.39 / $1,314.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.39 / $1,375.50 / $1,985.43
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
$365.12 / $888.73 / $2,214.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$911.93 / $1,065.67 / $1,718.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.68 / $1,112.83 / $1,461.76
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.50 / $511.17 / $706.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.49 / $2,803.00 / $7,868.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.53 / $1,176.98 / $2,148.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $549.99 / $902.59
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.50 / $511.17 / $706.51
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.10 / $1,158.27 / $1,496.13
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,746.95 / $1,746.95 / $1,746.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.95 / $1,821.90 / $4,568.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.53 / $1,175.84 / $1,864.87