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Missouri 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
$475.23 / $475.23 / $475.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.78 / $810.73 / $1,985.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.05 / $522.00 / $809.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.38 / $650.38 / $650.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $735.26 / $6,335.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.03 / $734.03 / $4,568.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.03 / $635.79 / $1,445.81