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Alaska rates for HCPCS 33852

Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; without cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,013.31 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,144.91 / $7,708.41 / $7,708.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,693.87 / $4,693.87 / $4,693.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,690.31 / $7,708.41 / $11,023.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,362.43 / $8,731.79 / $11,080.36
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,197.50 / $6,029.10 / $8,603.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,690.31 / $7,708.41 / $11,023.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,282.79 / $6,070.50 / $9,274.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,942.53 / $5,632.65 / $8,668.15