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Hawaii rates for HCPCS 33414

Repair of left ventricular outflow tract obstruction by patch enlargement of the outflow tract

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $2,747.00 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,084.75 / $2,084.75 / $2,084.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,476.96 / $2,476.96 / $2,715.31
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,903.08 / $3,177.11 / $3,927.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,179.73 / $2,377.88 / $2,774.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.00 / $2,446.00 / $2,446.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,021.20 / $2,556.17 / $3,317.33
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $2,148.11 / $3,119.45