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North Dakota 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
$3,467.37 / $3,630.78 / $8,511.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $4,786.30 / $10,471.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $2,041.74