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Indiana 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
$1,412.54 / $2,344.23 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,479.11 / $3,235.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $40,738.03 / $57,543.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $2,089.30 / $3,235.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,348.96 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,905.46 / $3,890.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $5,754.40 / $12,022.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,584.89 / $2,630.27