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Oregon 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
$2,398.83 / $4,466.84 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,398.83 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,801.89 / $5,370.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $3,715.35 / $4,570.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,467.37 / $5,128.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $3,467.37 / $5,370.32
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,467.37 / $3,801.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $3,019.95 / $4,677.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $3,388.44 / $5,011.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $4,265.80 / $5,754.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $10,232.93 / $37,153.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,981.07 / $5,370.32