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Texas rates for HCPCS 33875

Descending Thoracic Aorta Graft W/Wo Bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.00 / $3,682.00 / $10,893.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,538.71 / $3,000.29 / $3,609.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,468.86 / $2,993.10 / $4,258.35
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,484.44 / $2,484.44 / $2,484.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,537.81 / $3,476.07 / $4,961.04
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $48,132.32
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,899.68 / $19,402.80 / $23,001.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,385.15 / $3,133.51 / $6,079.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,390.95 / $3,912.63 / $4,564.74
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,472.71 / $2,792.67 / $4,516.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,385.15 / $3,171.59 / $6,234.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,529.40 / $3,529.60 / $5,700.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $2,064.00 / $8,759.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,152.28 / $2,869.48 / $4,631.34
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,226.21 / $2,550.90 / $3,486.42