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Missouri 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
$1,923.28 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,799.29 / $2,224.94 / $2,315.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,878.08 / $2,397.00 / $3,833.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,736.58 / $2,626.42 / $5,259.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,626.43 / $11,043.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,935.85 / $3,595.85 / $24,716.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,935.85 / $2,924.64 / $5,488.62