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Oklahoma 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
$1,346.00 / $3,909.00 / $18,600.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $3,849.88 / $6,272.82
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,510.64 / $1,510.64 / $1,510.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68