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Vermont rates for HCPCS 33504

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,779.62 / $1,779.62 / $1,779.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,011.38 / $2,381.44 / $5,011.72
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,011.38 / $2,381.44 / $5,011.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,883.25 / $2,023.49 / $6,151.32