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Alaska rates for HCPCS 33755

Shunt Ascending Aorta Pulmonary Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,773.06 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,732.16 / $7,246.95 / $7,246.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,406.71 / $4,406.71 / $4,406.71
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,590.57 / $7,246.95 / $10,363.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,172.38 / $8,238.29 / $10,422.75
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,903.75 / $5,688.35 / $8,142.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,590.57 / $7,246.95 / $10,363.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.49 / $5,710.50 / $8,733.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,525.36 / $5,288.04 / $8,142.05