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Hawaii rates for HCPCS 33611

Repair of double outlet right ventricle with intraventricular tunnel repair;

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
$1,882.21 / $1,882.21 / $1,882.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,252.28 / $2,252.28 / $2,452.03
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,637.81 / $2,886.79 / $3,568.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,982.00 / $2,162.17 / $2,522.55
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
$1,837.86 / $2,321.09 / $3,014.13
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $2,283.44 / $3,339.02