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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
$1,000.00 / $3,715.35 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,041.74 / $3,090.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,089.30 / $2,818.38
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,511.89 / $3,981.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $52,480.75
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,892.96 / $20,892.96 / $22,387.21
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $2,630.27 / $6,025.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,398.83 / $3,090.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,445.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,511.89 / $4,365.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,454.71 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $2,454.71 / $10,232.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,995.26 / $3,162.28
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,819.70