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Utah rates for HCPCS 33776

Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with closure of ventricular septal defect

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $3,388.44 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,290.87 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,818.38 / $3,630.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $60.26 / $11,748.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $3,981.07 / $11,481.54
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $4,570.88 / $6,165.95
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,090.30 / $10,232.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,511.89 / $4,073.80