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Louisiana 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
$900.00 / $2,756.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,342.12 / $2,788.50 / $3,042.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,760.52 / $3,309.77 / $3,617.24
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,945.97 / $2,735.84 / $3,644.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,309.00 / $7,168.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,900.70 / $3,167.84 / $4,573.56