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Kansas 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
$2,393.69 / $7,655.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,761.14 / $1,832.73 / $2,393.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,176.26 / $2,560.30 / $2,560.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,586.75 / $2,202.71 / $3,248.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,081.00 / $4,750.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,568.05 / $2,149.96 / $18,750.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.00 / $1,743.00 / $8,198.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,529.48 / $1,994.18 / $3,167.11