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Alaska rates for HCPCS 33803

Division of aberrant vessel (vascular ring); with reanastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,303.94 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,878.84 / $6,345.88 / $6,345.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,871.10 / $3,871.10 / $3,871.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,389.52 / $6,345.88 / $9,074.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,758.35 / $7,163.10 / $9,114.69
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,263.75 / $4,945.95 / $7,132.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,389.52 / $6,345.88 / $9,074.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.55 / $4,999.50 / $7,634.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,096.88 / $4,645.32 / $7,143.66