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Idaho 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
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.48 / $1,163.38 / $2,642.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.52 / $1,480.62 / $1,653.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,038.43 / $1,438.12 / $3,382.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,413.29 / $1,612.24 / $1,713.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,352.26 / $1,506.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,612.24 / $1,753.56 / $1,777.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.50 / $1,217.71 / $1,901.79