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Texas 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
$969.00 / $3,682.00 / $10,836.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,228.87 / $3,228.87 / $3,228.87
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $63,099.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,332.66 / $4,259.78 / $8,033.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,353.05 / $4,323.08 / $9,035.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $2,064.00 / $8,759.00