go back

Massachusetts 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
$1,299.50 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,299.50 / $2,265.56 / $5,307.83
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $3,414.00 / $7,231.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,900.69 / $3,413.90 / $25,948.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,727.43 / $3,999.02 / $7,107.28
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $2,867.00 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,227.85 / $2,752.94 / $4,922.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,419.51 / $4,589.81 / $6,026.03
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $41,732.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.17 / $3,908.63 / $25,948.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,325.00 / $4,662.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,382.80 / $3,302.39 / $8,041.07