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Alaska rates for HCPCS 33504

Repair of anomalous coronary artery from pulmonary artery origin; by graft, with cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,202.31 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,486.78 / $8,071.39 / $8,071.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,913.64 / $4,913.64 / $4,913.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,771.26 / $8,071.39 / $11,542.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,526.58 / $9,158.10 / $11,605.82
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,451.25 / $6,323.45 / $9,352.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,771.26 / $8,071.39 / $11,542.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,394.51 / $6,357.00 / $9,720.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,930.92 / $5,896.38 / $9,077.82