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West Virginia 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
$1,400.00 / $3,361.92 / $3,361.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,370.23 / $3,867.83 / $4,214.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,613.90 / $3,613.90 / $3,613.90
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$350.97 / $350.97 / $350.97