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Hawaii rates for HCPCS 33774

Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass;

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
$1,736.51 / $1,736.51 / $1,736.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.73 / $2,104.73 / $2,247.98
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,442.92 / $2,673.53 / $3,305.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,852.16 / $2,020.54 / $2,357.29
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
$1,717.46 / $2,141.00 / $2,791.05
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $2,150.44 / $3,207.94