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Utah 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
Facility
Modifier
Low / Median / High Price
$3,162.28 / $4,570.88 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $3,890.45 / $5,248.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $5,128.61 / $6,456.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $15,848.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $7,413.10 / $15,488.17
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $7,943.28 / $10,964.78
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $5,495.41 / $7,943.28
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
$3,388.44 / $4,466.84 / $7,244.36