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Pennsylvania 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
$1,301.00 / $3,964.00 / $8,451.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,971.01 / $2,265.62 / $2,842.86
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,021.60 / $2,097.89 / $2,097.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,959.87 / $2,611.56 / $4,069.11
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,074.99 / $3,074.99 / $3,250.29
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $5,342.00 / $8,990.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.51 / $2,439.81 / $5,958.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $3,165.80 / $5,017.70
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,001.07 / $2,618.94 / $4,069.11
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,986.79 / $1,986.79 / $2,767.35
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,896.16 / $2,026.53 / $2,767.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.00 / $2,391.00 / $6,322.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,904.57 / $2,540.15 / $4,083.46