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Delaware 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
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,019.35 / $2,019.35 / $2,175.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,783.19 / $2,297.98 / $2,692.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,840.46 / $2,203.17 / $4,262.13