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Arkansas 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
$1,277.00 / $1,821.00 / $3,148.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,371.83 / $1,763.89 / $2,181.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,424.70 / $1,885.64 / $1,885.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,735.55 / $2,547.65 / $3,020.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,056.00 / $2,558.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.18 / $1,953.80 / $2,949.39