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West 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
$1,400.00 / $3,790.45 / $3,790.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,783.72 / $4,354.20 / $4,743.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,063.74 / $4,063.74 / $4,063.74