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Pennsylvania rates for HCPCS 33141

Transmyocardial laser revascularization, by thoracotomy; performed at the time of other open cardiac procedure(s) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.88 / $3,839.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $155.68 / $181.82
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
$129.63 / $134.53 / $222.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.86 / $193.45 / $300.58
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.27 / $196.27 / $208.52
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $161.10 / $712.89
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.70 / $319.50 / $433.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.80 / $193.45 / $327.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.94 / $126.94 / $250.81
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.04 / $129.47 / $250.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.00 / $2,391.00 / $6,322.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.07 / $189.60 / $288.31