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Wisconsin rates for HCPCS 77333

Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)

Facilitymedian $85 · 10th–90th $59$1950%20%10th90th$85Professionalmedian $105 · 10th–90th $38$3470%5%10th90th$105$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$58.88 / $58.88 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $141.25 / $288.40
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $50.12 / $144.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $100.00 / $190.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $147.91 / $630.96
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $58.88 / $213.80
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $95.50 / $446.68
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$104.71 / $123.03 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $331.13 / $707.95
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $107.15 / $204.17
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $239.88 / $501.19
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $302.00 / $389.05
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $100.00 / $112.20
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $213.80 / $269.15
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $223.87 / $891.25
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $89.13 / $416.87
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$53.70 / $147.91 / $645.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $85.11
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $213.80 / $489.78
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $104.71 / $177.83
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $128.82 / $309.03
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $331.13 / $478.63
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $245.47 / $245.47
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $588.84 / $891.25
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $194.98 / $416.87
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $407.38 / $645.65
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$331.13 / $331.13 / $331.13
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $851.14 / $1,000.00
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $141.25 / $234.42
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $190.55 / $426.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $199.53 / $489.78
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $107.15 / $257.04
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$53.70 / $128.82 / $309.03