go back

Ohio 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
$1,896.48 / $5,236.57 / $32,301.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,463.84 / $1,498.52 / $3,835.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,097.00 / $8,010.00 / $36,529.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.59 / $1,454.26 / $2,398.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,278.58 / $1,278.58 / $1,861.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,378.86 / $1,378.86 / $1,383.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.30 / $1,907.69 / $2,769.66
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.21 / $1,942.93 / $2,632.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.04 / $1,309.83 / $1,865.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.00 / $3,086.00 / $6,792.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,344.25 / $1,706.47 / $2,946.94