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South 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
$2,511.89 / $7,943.28 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,187.76 / $4,466.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,398.83 / $3,981.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,630.27 / $4,168.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,754.23 / $5,754.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $6,760.83 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,454.71 / $4,466.84