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Ohio 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
$478.93 / $710.65 / $1,326.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.85 / $765.25 / $1,326.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,097.00 / $8,010.00 / $36,529.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.52 / $453.95 / $762.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.07 / $379.07 / $551.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.79 / $408.79 / $440.37
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.89 / $762.89 / $764.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.98 / $432.75 / $571.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.84 / $537.16 / $938.10