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Wisconsin rates for HCPCS 33971

Removal of intra-aortic balloon assist device including repair of femoral artery, with or without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,380.38 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,128.31 / $14,125.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,995.26 / $3,235.94
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $7,244.36 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $2,818.38 / $9,549.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,698.24 / $2,884.03
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $7,079.46 / $7,079.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45