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Alaska rates for HCPCS 33974

Removal of intra-aortic balloon assist device from the ascending aorta, including repair of the ascending aorta, with or without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,550.66 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,555.16 / $4,899.06 / $4,899.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,971.02 / $2,971.02 / $2,971.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,075.21 / $4,899.06 / $7,005.66
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,141.35 / $5,560.80 / $7,031.51
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,310.00 / $3,839.60 / $5,753.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,075.21 / $4,899.06 / $7,005.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.85 / $3,855.00 / $5,897.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,376.82 / $3,565.23 / $5,490.38