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Wisconsin rates for HCPCS 33886

Plmt Dstl Xtn Prosth Dlyd After Evasc Rpr Dta

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.65 / $1,816.09 / $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
$2,270.82 / $2,653.64 / $4,280.22
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887.87 / $1,253.95 / $1,752.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,025.86 / $2,803.00 / $7,868.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887.87 / $1,253.95 / $1,752.70
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,827.80 / $2,822.40 / $3,695.86
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,863.72 / $11,863.72 / $11,863.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00