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Ohio rates for HCPCS 33755

Shunt; ascending aorta to pulmonary artery (Waterston type operation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,452.87 / $5,135.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,452.87 / $1,488.35 / $3,806.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.00 / $5,945.00 / $29,406.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.28 / $1,613.28 / $2,612.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,267.76 / $1,267.76 / $1,846.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,367.19 / $1,367.19 / $1,669.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.67 / $1,858.67 / $2,738.93
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.33 / $1,893.70 / $2,738.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.95 / $1,278.10 / $1,814.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.00 / $3,086.00 / $6,792.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.71 / $1,696.11 / $2,683.84