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Texas 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
$472.88 / $586.59 / $604.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.77 / $568.26 / $1,676.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.35 / $447.26 / $623.13
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $1,769.14
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,144.28 / $4,568.99 / $4,568.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.95 / $499.25 / $890.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.62 / $366.62 / $366.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.71 / $524.99 / $984.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.62 / $653.99 / $1,181.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.02 / $447.63 / $698.24
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.58 / $366.62 / $497.42