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Hawaii 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
$2,747.00 / $2,747.00 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,898.52 / $1,898.52 / $1,898.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,311.39 / $2,311.39 / $2,458.67
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,707.48 / $2,963.04 / $3,663.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,034.02 / $2,218.92 / $2,588.75
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
$1,886.09 / $2,382.80 / $3,093.60
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $2,374.57 / $3,518.91