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New York 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
$2,559.00 / $5,324.00 / $10,296.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,989.00 / $9,750.00 / $16,411.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,014.18 / $5,014.18 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,063.74 / $4,063.74 / $7,227.90
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $4,862.00 / $20,831.11
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $4,063.74 / $74,999.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,194.00 / $9,300.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,432.35 / $4,432.35 / $10,525.26