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Indiana 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
$1,008.78 / $1,008.78 / $2,192.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.78 / $1,008.78 / $4,846.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,646.00 / $24,214.00 / $45,778.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.22 / $1,244.03 / $1,716.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.41 / $1,148.21 / $1,845.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.16 / $1,066.20 / $1,476.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,459.57 / $3,373.18 / $4,271.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.11 / $1,198.93 / $1,876.39