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Pennsylvania 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
$1,426.00 / $4,761.00 / $89,205.60
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $5,342.00 / $11,066.45
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.76 / $3,028.76 / $3,212.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.00 / $2,391.00 / $6,322.00