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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
$1,796.08 / $1,796.08 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,796.08 / $1,796.08 / $1,874.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,533.36 / $3,839.80 / $4,536.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,503.34 / $3,243.32 / $5,235.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,796.08 / $2,475.83 / $5,388.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,848.24 / $3,585.60 / $4,606.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,100.46 / $3,819.04 / $4,606.12