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Texas 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
$969.00 / $3,682.00 / $10,893.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,070.27 / $3,070.27 / $3,070.27
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $78,154.02
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$743.89 / $1,510.64 / $1,565.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,196.34 / $3,804.10 / $7,722.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,196.34 / $3,821.39 / $8,518.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $2,064.00 / $8,759.00