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Alaska rates for HCPCS 33891

Bypass graft, with other than vein, transcervical retropharyngeal carotid-carotid, performed in conjunction with endovascular repair of descending thoracic aorta, by neck incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,799.23 / $2,799.23 / $2,799.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,606.61 / $4,846.14 / $6,278.49
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,177.20 / $5,376.49 / $7,688.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.36 / $921.36 / $1,316.23
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,517.50 / $4,080.30 / $6,179.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,177.20 / $1,177.20 / $1,177.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,450.16 / $4,620.00 / $6,673.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,657.94 / $3,986.91 / $6,144.91