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Wisconsin rates for HCPCS 33916

Pulmonary endarterectomy, with or without embolectomy, with cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $4,897.79 / $13,803.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $13,803.84 / $22,387.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $7,413.10 / $21,877.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $11,481.54 / $18,620.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,165.95 / $12,302.69 / $13,803.84
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $7,585.78 / $13,489.63
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,317.64 / $10,232.93 / $12,022.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $4,570.88 / $9,549.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $7,943.28 / $29,512.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $5,370.32
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,918.31 / $9,772.37 / $16,595.87
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $120,226.44 / $120,226.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,760.83 / $19,498.45 / $28,840.32
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,417.38 / $20,417.38 / $20,417.38
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,197.01 / $26,915.35 / $27,542.29
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
$2,754.23 / $7,585.78 / $17,782.79