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Rhode Island 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
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,299.50 / $2,480.81 / $2,531.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,195.98 / $2,583.52 / $3,869.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,027.47 / $2,897.00 / $4,569.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,649.00 / $4,915.00 / $7,205.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,186.30 / $2,861.20 / $4,462.20