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Pennsylvania rates for HCPCS 33369

Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; cardiopulmonary bypass support with central arterial and venous cannulation (eg, aorta, right atrium, pulmonary artery) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $3,839.00 / $8,427.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.07 / $1,068.36 / $1,345.06
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.12 / $1,539.69 / $1,984.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.16 / $1,374.01 / $1,992.77
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,444.58 / $1,444.58 / $1,523.62
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,761.00 / $8,427.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.07 / $1,157.90 / $4,979.14
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $1,724.10 / $2,372.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.32 / $1,379.72 / $2,119.65
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.33 / $939.98 / $939.98
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.12 / $939.98 / $980.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.00 / $2,391.00 / $6,322.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.76 / $1,274.20 / $1,993.10