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Hawaii rates for HCPCS 33775

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

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
$1,711.67 / $1,711.67 / $1,711.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,118.94 / $2,118.94 / $2,161.09
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,400.42 / $2,626.99 / $3,247.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,901.76 / $2,074.64 / $2,420.42
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
$1,763.45 / $2,205.46 / $2,871.92
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $2,211.96 / $3,316.63