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Massachusetts rates for HCPCS 33864

Ascending aorta graft, with cardiopulmonary bypass with valve suspension, with coronary reconstruction and valve-sparing aortic root remodeling (eg, David Procedure, Yacoub Procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,095.85 / $2,747.00 / $5,454.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $3,420.02 / $10,089.26
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,482.95 / $1,482.95 / $1,482.95
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $4,183.82 / $8,090.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $41,732.00
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,482.95 / $1,482.95 / $1,482.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,325.00 / $4,662.00