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New York rates for HCPCS 33875

Descending Thoracic Aorta Graft W/Wo Bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,087.03 / $4,910.00 / $10,686.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,479.25 / $3,482.35 / $6,523.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,989.00 / $9,750.00 / $16,411.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,249.88 / $2,941.02 / $6,282.44
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.60 / $3,801.60 / $37,499.62
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.60 / $3,801.60 / $3,801.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,088.27 / $3,088.27 / $7,227.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,640.79 / $4,146.24 / $9,876.89
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $3,806.00 / $15,834.32
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,867.38 / $3,587.89 / $5,511.75
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.43 / $2,581.15 / $4,609.14
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $3,088.27 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,749.78 / $4,198.62 / $9,305.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,194.00 / $9,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,574.73 / $3,485.38 / $8,261.56
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,380.68 / $3,380.68 / $7,093.11
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.43 / $3,380.68 / $6,162.14