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Indiana rates for HCPCS 33877

Repair of thoracoabdominal aortic aneurysm with graft, with or without cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,897.79 / $5,128.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $40,738.03 / $57,543.99
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,630.78 / $3,890.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $5,623.41 / $7,585.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $5,754.40 / $12,022.64