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Alaska rates for HCPCS 33503

Repair of anomalous coronary artery from pulmonary artery origin; by graft, without cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $12,022.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,737.80 / $7,244.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,949.84 / $10,232.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $4,073.80 / $8,912.51
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $5,370.32 / $7,413.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $7,244.36 / $10,471.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,288.25 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $5,370.32 / $8,128.31