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Oklahoma rates for HCPCS 33875

Descending thoracic aorta graft, with or without bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $3,683.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,357.88 / $3,357.88 / $3,462.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,628.85 / $3,596.27 / $4,695.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,234.91 / $3,401.87 / $4,381.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.00 / $3,115.80 / $6,155.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,142.25 / $3,170.58 / $19,402.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,723.87 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,142.25 / $2,640.45 / $4,671.80