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Tennessee 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
$2,258.00 / $3,868.35 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,773.85 / $2,196.35 / $3,564.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $2,326.00 / $4,528.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,797.72 / $2,392.13 / $4,105.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.26 / $2,767.70 / $3,965.23
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $53,275.56 / $54,612.22
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24,716.00 / $24,716.00 / $24,716.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.00 / $2,665.00 / $4,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,753.78 / $2,745.72 / $4,278.87