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Ohio 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
$2,203.03 / $6,699.42 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,203.03 / $2,269.48 / $5,771.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,097.00 / $8,010.00 / $36,529.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,694.95 / $2,392.87 / $3,979.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,918.84 / $1,918.84 / $2,794.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,069.33 / $2,069.33 / $2,566.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,817.01 / $2,915.88 / $4,181.38
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,975.27 / $2,916.85 / $4,222.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.79 / $1,936.03 / $2,754.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.00 / $3,086.00 / $6,792.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,988.88 / $2,615.11 / $4,107.29