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South Carolina 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
$4,888.07 / $9,062.00 / $16,467.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,308.58 / $4,791.47 / $8,488.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,107.00 / $8,818.00