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West Virginia rates for HCPCS 33875

Descending thoracic aorta graft, with or without bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $2,818.38 / $2,818.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,019.95 / $3,388.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $3,548.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $4,570.88 / $4,570.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $4,265.80 / $12,589.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,454.71 / $4,365.16