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Utah 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
$3,162.28 / $3,388.44 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,344.23 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,019.95 / $3,801.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $60.26 / $10,232.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $4,466.84 / $10,000.00
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $4,786.30 / $6,456.54
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,235.94 / $8,912.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,630.27 / $4,265.80