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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
$1,615.00 / $1,946.15 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800.94 / $1,800.94 / $3,133.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,659.84 / $4,394.72 / $5,067.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,149.23 / $2,989.31 / $4,969.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.94 / $2,462.00 / $4,480.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,351.30 / $2,351.30 / $2,351.30
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,053.40 / $3,053.40 / $3,053.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,086.00 / $7,778.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,836.73 / $2,534.69 / $4,882.64
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $44,199.74 / $53,275.56
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24,716.00 / $24,716.00 / $24,716.00