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Virginia rates for HCPCS 33875

Descending Thoracic Aorta Graft W/Wo Bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,107.42 / $5,048.00 / $9,539.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,564.11 / $3,107.42 / $3,886.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,900.00 / $13,875.00 / $15,752.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,446.30 / $3,110.14 / $4,341.09
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,253.81 / $3,589.66 / $6,999.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,420.28 / $3,156.42 / $6,241.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,506.89 / $3,008.27 / $3,710.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,789.23 / $3,512.94 / $5,251.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.00 / $3,490.00 / $6,180.22
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,070.00 / $3,301.86 / $6,556.40
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,070.00 / $3,301.86 / $6,556.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,024.88 / $3,133.61 / $5,975.79