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Kansas 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
$3,131.00 / $7,655.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.38 / $2,495.87 / $3,253.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,670.95 / $3,142.29 / $3,142.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,209.37 / $2,981.11 / $4,366.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,928.56 / $5,053.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,151.51 / $2,903.31 / $25,948.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.00 / $1,743.00 / $8,198.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,093.56 / $3,023.91 / $4,335.13