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Wisconsin rates for HCPCS 33915

Pulmonary artery embolectomy; without cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $2,630.27 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,621.81 / $3,311.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $18,197.01 / $29,512.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,511.89 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,890.45 / $6,165.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $4,073.80 / $4,570.88
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $7,244.36 / $13,489.63
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,388.44 / $3,981.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,818.38 / $9,549.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,691.53 / $11,481.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,819.70
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,311.31 / $5,495.41
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $23,988.33 / $23,988.33
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $6,456.54 / $11,481.54
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,760.83 / $6,760.83 / $6,760.83
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,888.44 / $8,912.51 / $9,120.11
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
$1,479.11 / $2,570.40 / $5,888.44