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Oklahoma 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
$1,346.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,722.41 / $1,722.41 / $1,775.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,472.47 / $1,982.52 / $2,215.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.00 / $1,964.41 / $6,155.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.68 / $1,820.38 / $16,901.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.44 / $1,606.61 / $2,428.50