go back

Connecticut 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
$719.97 / $719.97 / $719.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.87 / $934.03 / $1,358.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,098.00 / $12,905.00 / $17,206.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.87 / $896.27 / $1,040.50
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.39 / $577.39 / $640.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.03 / $682.66 / $1,532.17