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Maine rates for HCPCS 33783

Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); with reimplantation of 1 or both coronary ostia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $4,168.69 / $5,888.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $4,897.79 / $7,413.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $4,677.35 / $7,413.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $4,786.30 / $6,165.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $4,570.88 / $5,888.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $5,128.61 / $6,606.93