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Minnesota rates for HCPCS 33875

Descending Thoracic Aorta Graft W/Wo Bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.11 / $2,754.11 / $2,754.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.11 / $3,233.35 / $4,050.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,293.17 / $11,380.32 / $22,805.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,238.76 / $6,473.48 / $9,807.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,098.83 / $8,648.90 / $20,806.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,938.75 / $8,037.81 / $11,656.82
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,957.91 / $7,907.17 / $16,382.76
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,127.25 / $6,624.23 / $9,860.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,644.70 / $4,356.00 / $6,845.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,156.43 / $5,788.12 / $11,410.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.00 / $3,500.00 / $8,152.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,418.93 / $6,792.07 / $10,839.64