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Hawaii 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
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.34 / $604.47 / $747.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.06 / $421.15 / $491.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.98 / $467.04 / $565.74
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $455.57 / $738.23