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Wyoming rates for HCPCS 33503

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,321.01 / $1,321.01 / $1,321.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,032.00 / $3,419.00 / $4,103.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,843.05 / $1,875.68 / $3,139.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,103.75 / $4,207.50 / $5,239.07