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Wisconsin rates for HCPCS 33975

Insertion of ventricular assist device; extracorporeal, single ventricle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $2,454.71 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $18,197.01 / $29,512.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,630.78 / $5,754.40
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $7,244.36 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $2,818.38 / $9,549.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $3,019.95 / $5,128.61
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $30,199.52 / $30,199.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45