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Idaho 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
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,398.83 / $5,370.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $7,244.36 / $10,232.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,388.44 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,019.95 / $3,630.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $3,801.89 / $5,495.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,311.31 / $3,715.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $3,630.78 / $3,801.89
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $3,388.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $15,488.17 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,511.89 / $3,801.89