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New York 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
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $7,762.47 / $13,803.84
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $37,153.52
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $5,754.40 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $549.54 / $562.34
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $446.68 / $707.95
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $549.54 / $645.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $512.86 / $1,148.15
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $478.63 / $1,445.44
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $478.63 / $1,000.00