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Virginia 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
$1,641.92 / $2,650.72 / $3,238.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,369.68 / $1,641.92 / $4,846.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,900.00 / $13,875.00 / $15,752.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.89 / $1,085.88 / $1,513.50
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.99 / $1,105.99 / $2,156.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.87 / $1,045.04 / $1,288.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$993.84 / $1,404.69 / $1,965.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.00 / $1,369.67 / $2,145.26
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$994.70 / $1,315.68 / $4,217.13
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.70 / $1,315.68 / $4,217.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.87 / $1,427.22 / $2,088.07