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New York rates for HCPCS 33863

Ascending aorta graft, with cardiopulmonary bypass, with aortic root replacement using valved conduit and coronary reconstruction (eg, Bentall)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,897.79 / $12,022.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $11,220.18 / $19,054.61
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $37,153.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $5,248.07 / $53,703.18
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$6,309.57 / $6,309.57 / $6,309.57
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$524.81 / $524.81 / $524.81
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $4,897.79 / $11,220.18
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $4,168.69 / $9,332.54
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,890.45 / $9,549.93