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Delaware 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
$6,907.00 / $6,907.00 / $15,648.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,463.84 / $1,463.84 / $1,578.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.35 / $1,666.54 / $1,919.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.23 / $1,527.13 / $3,408.94