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Maine 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
$1,954.52 / $2,767.19 / $2,767.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,921.63 / $2,371.44 / $3,493.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,277.71 / $2,767.19 / $3,888.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,033.69 / $2,263.80 / $3,522.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,954.52 / $2,767.19 / $2,767.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,989.59 / $2,734.09 / $3,535.46