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Maryland 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
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,187.76 / $5,495.41
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,187.76 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,398.83 / $4,677.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,089.30 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,137.96 / $4,073.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,137.96 / $2,818.38