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West Virginia 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
$1,400.00 / $1,452.45 / $1,452.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,452.45 / $1,509.87 / $1,740.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,472.94 / $1,684.26 / $1,835.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,631.14 / $1,631.14 / $1,631.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,579.98 / $1,579.98 / $1,579.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,325.77 / $2,038.92 / $9,058.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.49 / $1,748.78 / $2,461.07