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Utah 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
$2,818.38 / $3,388.44 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,089.30 / $3,981.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,754.23 / $3,388.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $60.26 / $11,748.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,981.07 / $11,481.54
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $4,265.80 / $5,754.40
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,884.03 / $10,232.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,344.23 / $3,801.89