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California 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
$1,963.12 / $10,061.00 / $20,509.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,782.72 / $1,963.12 / $10,196.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,294.00 / $14,348.00 / $32,242.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,611.16 / $3,711.07 / $6,802.12
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.50 / $98.70 / $13,858.12
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,541.81 / $2,371.28 / $5,121.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,980.10 / $2,448.44 / $5,954.34
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,709.60 / $2,038.09 / $2,649.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,834.28 / $2,347.01 / $4,314.47
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $47,570.38 / $58,762.60
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24,205.00 / $25,948.28 / $25,948.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,955.84 / $2,639.64 / $4,203.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,980.10 / $2,448.44 / $5,648.43
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,326.99 / $6,326.99 / $6,326.99
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,709.60 / $2,257.28 / $3,233.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.00 / $5,319.00 / $20,279.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,682.30 / $2,362.13 / $5,184.72