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Idaho 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
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,390.67 / $2,778.33 / $6,346.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,915.92 / $3,569.47 / $3,985.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,101.21 / $3,421.90 / $8,123.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,381.10 / $3,855.15 / $4,098.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $3,217.46 / $3,585.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,855.15 / $4,212.95 / $4,268.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,123.98 / $2,961.00 / $4,605.77