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New Jersey 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
$1,990.13 / $5,982.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,677.90 / $1,990.13 / $2,177.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,783.19 / $2,752.93 / $5,868.34
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,769.14 / $3,022.47 / $3,363.64
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,476.30 / $1,893.14 / $3,745.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.00 / $4,135.00 / $9,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,639.52 / $2,168.90 / $5,367.04