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Idaho 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
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,819.70 / $4,168.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $5,495.41 / $7,943.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,570.40 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,344.23 / $2,818.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,951.21 / $5,248.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,511.89 / $2,884.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,754.23 / $2,951.21
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $2,570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $15,488.17 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,905.46 / $2,951.21