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Arizona 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
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.98 / $1,647.76 / $7,486.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,805.25 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.60 / $1,440.82 / $1,801.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,384.27 / $1,659.42 / $2,533.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,398.96 / $1,943.00 / $4,435.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.87 / $1,610.44 / $18,750.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $6,416.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.24 / $1,547.28 / $2,508.35