go back

Tennessee rates for HCPCS 33866

Aortic hemiarch graft including isolation and control of the arch vessels, beveled open distal aortic anastomosis extending under one or more of the arch vessels, and total circulatory arrest or isolated cerebral perfusion (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,774.24 / $2,683.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.00 / $139.00 / $388.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $26,135.20 / $26,791.18
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$218.27 / $420.67 / $420.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $794.00 / $2,577.00