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West Virginia rates for HCPCS 33881

Endovascular repair of thoracic aorta, including pre-procedure sizing and device selection, nonselective catheterization(s), all associated radiological supervision and interpretation; by deployment of an aorto-aortic tube endograft not involving coverage of the left subclavian artery origin and all endograft extension(s) placed from the level of the left subclavian carotid artery to the celiac artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $1,609.80 / $1,609.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,606.44 / $1,849.04 / $2,014.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,728.19 / $1,728.19 / $1,728.19
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,045.99 / $1,045.99 / $1,045.99
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$167.36 / $167.36 / $167.36