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Pennsylvania 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
Professional
Modifier
Low / Median / High Price
$1,246.97 / $4,846.14 / $5,063.22
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.80 / $1,254.27 / $1,820.39
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,413.23 / $1,413.23 / $1,513.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,212.58 / $1,641.75 / $4,846.14
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $1,718.00 / $2,303.80
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.24 / $926.24 / $1,105.54
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.09 / $944.76 / $1,105.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.95 / $1,248.34 / $1,949.74