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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
$1,061.19 / $5,350.00 / $13,947.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.40 / $976.42 / $1,222.79
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
$879.04 / $912.21 / $912.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.38 / $1,146.28 / $1,780.86
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,356.88 / $1,356.88 / $1,409.95
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $5,526.00 / $13,969.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.51 / $1,061.19 / $4,555.16
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $1,465.80 / $2,205.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.68 / $1,158.72 / $1,780.86
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$859.70 / $859.70 / $944.36
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.24 / $872.19 / $944.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.00 / $2,391.00 / $6,228.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.26 / $1,055.45 / $1,755.01