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Maryland rates for HCPCS 33875

Descending Thoracic Aorta Graft W/Wo Bypass

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,070.23 / $3,368.87 / $6,881.33
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,689.58 / $3,589.66 / $4,102.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,416.67 / $3,090.61 / $6,873.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,806.84 / $3,620.82 / $5,990.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.00 / $661.00 / $661.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,655.55 / $2,856.46 / $5,610.41
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,215.83 / $2,215.83 / $3,940.23