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Virginia 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
$3,633.00 / $5,282.00 / $10,767.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,900.00 / $13,875.00 / $15,752.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,286.44 / $3,943.73 / $4,863.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,838.15 / $4,691.79 / $6,956.39
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.86 / $4,462.00 / $8,665.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00