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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
$4,168.69 / $12,022.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,819.70 / $7,762.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $4,677.35 / $4,677.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,041.74 / $10,715.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $4,265.80 / $9,332.54
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $5,623.41 / $7,762.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $7,762.47 / $10,964.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,288.25 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $5,623.41 / $8,709.64