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Utah 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
Professional
Modifier
Low / Median / High Price
$1,985.43 / $1,985.43 / $1,985.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.16 / $300.79 / $436.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.29 / $800.90 / $942.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.50 / $473.45 / $828.00