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Minnesota 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
$1,995.26 / $1,995.26 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,344.23 / $3,630.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $8,128.31 / $28,840.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $4,365.16 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $6,606.93 / $15,848.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $5,754.40 / $8,511.38
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $6,456.54 / $12,589.25
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $4,786.30 / $7,244.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $3,388.44 / $5,495.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,890.45 / $8,128.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,467.37 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,981.07 / $7,762.47