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Texas 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
$935.00 / $3,570.00 / $10,836.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,779.49 / $2,036.31 / $2,436.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,658.43 / $2,099.17 / $2,924.61
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,144.30 / $2,580.02 / $3,601.60
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.43 / $1,691.43 / $1,691.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,878.17 / $2,511.10 / $4,057.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $52,698.62
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,966.00 / $22,475.32 / $22,475.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,878.17 / $2,409.56 / $4,737.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,284.17 / $2,635.59 / $3,074.86
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,683.33 / $1,878.17 / $3,046.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,878.17 / $2,441.62 / $4,799.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,878.17 / $2,528.67 / $4,365.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.00 / $2,547.00 / $9,187.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,534.83 / $2,092.94 / $3,334.52
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,499.60 / $1,715.44 / $2,349.23