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Alaska rates for HCPCS 33853

Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; with cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,260.86 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,350.04 / $10,104.56 / $10,104.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,165.11 / $6,165.11 / $6,165.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,214.41 / $10,104.56 / $14,449.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,392.64 / $11,407.20 / $14,523.41
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,790.00 / $7,876.40 / $11,564.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,214.41 / $10,104.56 / $14,449.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,724.35 / $7,956.00 / $12,158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,932.08 / $4,950.82 / $11,386.89