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California 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
$4,846.14 / $5,063.22 / $5,063.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,361.50 / $4,846.14 / $5,063.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,846.00 / $12,360.00 / $23,933.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,455.87 / $1,924.03 / $3,406.46
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,306.99 / $9,742.65 / $16,799.98
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.83 / $1,257.55 / $3,163.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,403.54 / $1,403.54 / $2,024.22
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.29 / $922.48 / $1,245.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.23 / $1,094.15 / $1,998.19
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $9,619.17 / $11,798.93
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,107.12 / $10,107.12 / $10,107.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.81 / $1,146.39 / $1,638.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.17 / $1,093.09 / $2,531.96
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,006.94 / $3,006.94 / $3,006.94
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.04 / $1,123.98 / $1,685.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.20 / $1,150.86 / $2,640.09