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Indiana 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
$1,976.87 / $2,064.00 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,788.54 / $2,064.00 / $2,663.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,451.00 / $15,205.00 / $25,750.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,889.38 / $2,829.00 / $3,904.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,639.35 / $2,089.37 / $2,410.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,687.57 / $1,928.65 / $2,410.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,830.97 / $2,727.28 / $6,755.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,242.00 / $10,843.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,736.33 / $2,325.67 / $3,518.74