go back

Maryland 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
Professional
Modifier
Low / Median / High Price
$2,253.27 / $2,468.78 / $5,512.69
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,383.80 / $2,557.52 / $3,700.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,881.09 / $2,419.19 / $5,058.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,057.92 / $2,654.73 / $4,402.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,743.97 / $2,281.67 / $4,146.03
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,628.43 / $1,628.43 / $2,886.17