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Texas rates for HCPCS 33875

Descending thoracic aorta graft, with or without bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,715.35 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,019.95 / $4,265.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,884.03 / $4,168.69
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $3,467.37 / $5,495.41
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $47,863.01
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,054.61 / $22,908.68 / $22,908.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $3,388.44 / $6,918.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,548.13 / $4,570.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $2,137.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,311.31 / $6,456.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,467.37 / $5,248.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $2,454.71 / $10,232.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,818.38 / $4,570.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,691.53