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Alaska rates for HCPCS 33612

Repair of double outlet right ventricle with intraventricular tunnel repair; with repair of right ventricular outflow tract obstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,755.79 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,196.90 / $11,055.17 / $11,055.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,768.02 / $6,768.02 / $6,768.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,419.71 / $11,055.17 / $15,808.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,776.78 / $12,404.70 / $15,879.05
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,383.75 / $8,565.15 / $12,985.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,419.71 / $11,055.17 / $15,808.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,936.15 / $8,701.50 / $13,298.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,414.42 / $8,121.63 / $12,504.41