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Oklahoma 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
$1,346.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,255.35 / $2,255.35 / $2,325.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,058.69 / $2,487.10 / $3,147.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,925.75 / $2,654.59 / $2,952.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.00 / $2,441.54 / $6,155.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,665.35 / $2,299.62 / $22,475.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.00 / $2,268.00 / $6,272.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,558.28 / $2,105.61 / $3,116.49