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Maryland rates for HCPCS 33852

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,509.87 / $1,721.98 / $4,786.32
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,682.31 / $1,803.89 / $2,061.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,325.77 / $1,724.49 / $3,562.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,448.69 / $1,868.81 / $3,095.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.30 / $1,616.91 / $2,856.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.44 / $1,136.44 / $2,032.53