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Iowa 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
$4,277.00 / $5,549.00 / $11,100.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,731.89 / $2,957.83 / $10,981.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,140.92 / $4,867.08 / $5,272.36
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,831.60 / $3,335.19 / $5,717.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,957.83 / $4,701.66 / $7,305.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,251.46 / $4,540.45 / $7,973.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,996.35 / $4,478.88 / $5,819.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,996.35 / $4,299.10 / $5,819.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,126.00 / $5,847.00 / $7,305.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,157.65 / $4,348.17 / $6,122.47
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,113.71 / $3,941.40 / $4,637.00