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Indiana rates for HCPCS 33875

Descending Thoracic Aorta Graft W/Wo Bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.00 / $3,043.23 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,641.77 / $3,043.23 / $3,926.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,575.00 / $24,214.00 / $45,778.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,044.82 / $3,065.90 / $4,230.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,409.71 / $3,071.20 / $3,543.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,480.58 / $2,834.95 / $3,543.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,180.65 / $3,249.87 / $5,627.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,242.00 / $10,843.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.31 / $3,248.95 / $5,169.57