go back

Pennsylvania rates for HCPCS 33975

Insertion of ventricular assist device; extracorporeal, single ventricle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,426.00 / $5,526.00 / $13,969.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $5,526.00 / $13,969.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,190.19 / $1,249.22 / $1,249.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.00 / $2,391.00 / $6,322.00