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Wyoming 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
$1,458.29 / $1,458.29 / $1,458.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,341.00 / $3,768.00 / $4,522.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,035.06 / $2,038.89 / $3,471.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,745.12 / $4,547.41 / $5,901.72