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Idaho rates for HCPCS 33875

Descending thoracic aorta graft, with or without bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $3,548.13 / $8,128.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $10,964.78 / $15,488.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $5,011.87 / $5,248.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $4,570.88 / $5,495.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,466.84 / $8,128.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $4,786.30 / $5,495.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $5,370.32 / $5,754.40
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $5,011.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $15,488.17 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $3,715.35 / $5,754.40