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Utah rates for HCPCS 33875

Descending Thoracic Aorta Graft W/Wo Bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,038.00 / $3,052.24 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,052.24 / $3,052.24 / $8,054.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,632.66 / $3,830.57 / $5,040.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.48 / $1,797.86 / $2,589.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,504.70 / $5,228.52 / $6,162.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,265.81 / $2,869.48 / $5,724.71