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New York 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
$1,948.23 / $4,103.75 / $10,296.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,948.23 / $2,431.96 / $4,210.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,989.00 / $9,750.00 / $16,411.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,505.29 / $1,967.71 / $4,290.39
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,556.46 / $2,556.46 / $37,499.62
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,556.46 / $2,556.46 / $2,556.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,068.61 / $2,068.61 / $7,227.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,802.62 / $3,085.77 / $6,607.65
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $3,401.00 / $15,716.26
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,934.21 / $2,578.94 / $3,717.98
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.76 / $1,734.42 / $3,097.14
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $2,068.61 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,855.00 / $3,335.77 / $6,607.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.00 / $4,114.00 / $8,515.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,818.48 / $2,382.55 / $5,662.19
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,271.67 / $2,271.67 / $6,956.62
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.76 / $2,592.94 / $4,538.89