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Minnesota 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
$1,479.11 / $1,479.11 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,737.80 / $2,691.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $6,025.60 / $20,892.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,162.28 / $5,248.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $4,897.79 / $11,748.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $4,265.80 / $6,309.57
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $4,786.30 / $9,332.54
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,548.13 / $5,370.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,754.23 / $4,073.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,818.38 / $5,888.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,467.37 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,951.21 / $5,754.40