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New York 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
$2,559.00 / $5,324.00 / $10,296.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,989.00 / $9,750.00 / $16,411.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,726.70 / $4,726.70 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $7,227.90
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$370.77 / $370.77 / $370.77
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $5,915.43 / $24,406.20
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $3,817.28 / $74,999.25
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$370.77 / $370.77 / $370.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,194.00 / $9,300.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,175.37 / $4,175.37 / $4,898.22