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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
$1,202.26 / $2,290.87 / $3,981.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,630.27 / $3,981.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,454.71 / $3,981.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,570.40 / $3,388.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,754.23 / $5,495.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,691.53 / $3,548.13