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Texas 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
$969.00 / $3,682.00 / $10,893.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,906.79 / $2,906.79 / $2,906.79
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $74,025.84
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$704.66 / $1,430.86 / $1,482.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,107.54 / $3,852.08 / $7,138.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,107.54 / $3,866.42 / $7,320.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $2,064.00 / $8,759.00