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Minnesota 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
$1,862.09 / $1,862.09 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,187.76 / $3,388.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $7,585.78 / $26,915.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,981.07 / $6,606.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $6,165.95 / $14,791.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $5,370.32 / $7,943.28
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $6,025.60 / $11,748.98
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $4,466.84 / $6,760.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $3,235.94 / $5,128.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,630.78 / $7,413.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,467.37 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,715.35 / $7,244.36