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Pennsylvania rates for HCPCS 33468

Tricuspid valve repositioning and plication for Ebstein anomaly

Facilitymedian $5,370 · 10th–90th $1,047–$8,5110%10%20%10th90th$5,370Professionalmedian $2,754 · 10th–90th $1,862–$4,8980%50%10th90th$2,754$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $5,754.40 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,754.23 / $5,248.07
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $21,379.62 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,754.23 / $4,786.30
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $3,548.13 / $3,981.07
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $3,162.28 / $4,677.35
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $3,981.07 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,691.53 / $3,311.31
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,090.30 / $5,495.41
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,041.74 / $2,344.23
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,344.23 / $2,454.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $2,630.27 / $7,079.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,691.53 / $5,011.87