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North Dakota 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
$1,778.28 / $1,862.09 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,862.09 / $3,019.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,981.07 / $4,677.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $3,162.28 / $5,248.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $2,454.71 / $5,370.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $3,467.37 / $4,168.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $3,388.44 / $4,466.84