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California rates for HCPCS 33875

Descending Thoracic Aorta Graft W/Wo Bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,984.13 / $10,061.00 / $20,509.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,797.19 / $2,066.76 / $13,948.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,294.00 / $14,348.00 / $32,242.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,596.83 / $3,564.00 / $7,136.52
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.50 / $98.70 / $13,719.51
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.48 / $2,221.52 / $5,248.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,047.82 / $3,127.79 / $7,422.28
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,749.81 / $2,206.65 / $3,334.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.52 / $3,202.16 / $4,800.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $39,955.51 / $49,441.76
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,899.68 / $19,402.80 / $23,001.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,496.48 / $3,202.16 / $4,460.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,047.82 / $3,159.97 / $7,406.13
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,654.57 / $8,654.57 / $8,654.57
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,749.81 / $2,589.52 / $3,309.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.00 / $5,159.00 / $20,279.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,077.39 / $3,021.36 / $6,517.29