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Maryland rates for HCPCS 33853

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,187.76 / $5,495.41
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,137.96 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,344.23 / $4,677.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,089.30 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,137.96 / $3,981.07
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,137.96 / $2,754.23