go back

West Virginia 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
$1,400.00 / $3,544.16 / $3,544.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,558.00 / $4,083.17 / $4,448.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $3,817.28
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$370.77 / $370.77 / $370.77