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Idaho 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
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,398.83 / $5,495.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $7,585.78 / $10,964.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,467.37 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,090.30 / $3,715.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $3,890.45 / $5,495.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,311.31 / $3,715.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $3,630.78 / $3,890.45
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $3,388.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $15,488.17 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,630.27 / $3,981.07