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Oregon 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
$484.56 / $3,891.70 / $7,920.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,784.03 / $2,381.23 / $9,350.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,411.94 / $3,961.55 / $5,325.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,821.02 / $4,004.99 / $4,559.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,381.23 / $3,550.45 / $5,140.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,899.15 / $3,656.13 / $5,763.16
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,587.71 / $3,436.51 / $3,659.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,381.23 / $3,941.77 / $5,119.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,108.22 / $4,197.96 / $5,530.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,522.15 / $9,522.15 / $9,522.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,313.78 / $4,359.43 / $5,742.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.00 / $10,234.00 / $36,803.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,758.08 / $3,833.28 / $5,732.28