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Washington 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
$687.59 / $811.28 / $1,162.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.34 / $1,033.35 / $1,985.43
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $523.22 / $1,746.95
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.97 / $908.76 / $4,568.99
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.57 / $837.97 / $1,049.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.88 / $837.97 / $1,096.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.60 / $558.34 / $906.41
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.96 / $723.63 / $807.35
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.22 / $523.22 / $526.46
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.37 / $873.51 / $1,045.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.61 / $757.32 / $1,020.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.00 / $713.00 / $1,108.41