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Pennsylvania 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
$1,071.52 / $7,244.36 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,047.13 / $2,691.53
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $21,379.62 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,148.15 / $1,737.80
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,513.56
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,258.93 / $1,905.46
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $5,370.32 / $14,125.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,174.90 / $2,818.38
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,258.93 / $2,041.74
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $954.99 / $954.99
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $870.96 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $2,570.40 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,122.02 / $1,778.28