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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
$1,995.26 / $2,754.23 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,187.76 / $4,466.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $25,703.96 / $35,481.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,818.38 / $4,365.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,862.09 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,818.38 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $5,754.40 / $12,022.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,187.76 / $3,715.35