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Alaska rates for HCPCS 33875

Descending thoracic aorta graft, with or without bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $12,022.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,548.13 / $15,135.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $9,332.54 / $9,332.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,981.07 / $21,379.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $8,128.31 / $18,620.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $10,964.78 / $15,135.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $15,135.61 / $21,877.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $2,630.27 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $11,220.18 / $16,982.44