go back

Hawaii rates for HCPCS 33777

Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with repair of subpulmonic obstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,818.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $2,238.72 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,187.76
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,691.53 / $3,235.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,041.74 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,454.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,238.72 / $2,951.21
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $2,238.72 / $3,467.37