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California rates for HCPCS 33858

Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic dissection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,233.00 / $10,061.00 / $20,509.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,945.10 / $14,348.00 / $32,242.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.50 / $100.00 / $1,693.95
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,870.06 / $3,426.11 / $4,305.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,083.50 / $3,955.61 / $7,251.95
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $64,910.37 / $80,123.82
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$647.34 / $1,510.64 / $1,565.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,207.96 / $4,037.64 / $5,501.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.00 / $5,319.00 / $20,279.00