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Alaska rates for HCPCS 33884

Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); each additional proximal extension (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,147.61 / $1,147.61 / $1,147.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,478.81 / $1,985.43 / $2,685.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.70 / $2,204.25 / $3,152.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.38 / $379.38 / $541.98
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,442.50 / $1,673.30 / $2,544.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.70 / $482.70 / $482.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.84 / $1,894.20 / $2,875.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,089.11 / $1,633.68 / $2,627.89