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Wisconsin rates for HCPCS 33967

Insertion Intra-Aortic Balloon Assist Dev Perq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.20 / $493.67 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.47 / $719.22 / $1,160.08
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.35 / $382.00 / $542.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.22 / $11,078.00 / $26,727.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.35 / $382.00 / $542.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.35 / $761.81 / $1,001.03
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $1,300.00 / $1,300.00
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$114.90 / $114.90 / $114.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,959.00 / $19,708.00 / $24,111.00