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Virginia 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
$3,562.87 / $5,412.00 / $10,767.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,900.00 / $13,875.00 / $15,752.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,874.42 / $3,449.30 / $4,254.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,459.30 / $4,330.24 / $6,241.05
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$966.83 / $1,087.11 / $1,254.55
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$676.78 / $760.98 / $878.19
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,471.00 / $3,816.46 / $7,538.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00