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South Carolina 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
$1,115.58 / $1,115.58 / $1,115.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.86 / $1,115.58 / $1,985.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.61 / $490.00 / $861.57
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.69 / $698.55 / $922.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.35 / $420.04 / $646.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.83 / $599.88 / $1,017.53