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Hawaii rates for HCPCS 33505

Repair of anomalous coronary artery from pulmonary artery origin; with construction of intrapulmonary artery tunnel (Takeuchi procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $2,747.00 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,971.01 / $1,971.01 / $1,971.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,360.75 / $2,360.75 / $2,582.44
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,679.18 / $2,932.07 / $3,624.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,077.46 / $2,266.32 / $2,644.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.00 / $2,446.00 / $2,446.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,926.37 / $2,453.91 / $3,178.88
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $1,843.31 / $2,694.61