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Indiana 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
$1,955.45 / $2,041.04 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,767.74 / $2,041.04 / $2,712.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,575.00 / $24,214.00 / $45,778.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,904.07 / $3,258.10 / $4,496.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.60 / $2,066.73 / $2,384.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,669.29 / $1,828.27 / $2,384.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800.00 / $2,797.93 / $6,685.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,987.00 / $5,735.00 / $10,926.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,717.01 / $2,317.98 / $3,513.08