go back

North Carolina 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
$1,819.70 / $3,090.30 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,187.76 / $5,495.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $4,365.16 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,818.38 / $4,786.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,754.23 / $6,025.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $3,890.45 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,570.40 / $4,570.88
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $53,703.18 / $53,703.18
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24,547.09 / $24,547.09 / $24,547.09