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Washington rates for HCPCS 33612

Repair of double outlet right ventricle with intraventricular tunnel repair; with repair of right ventricular outflow tract obstruction

Facilitymedian $4,677 · 10th–90th $2,692–$20,8930%10%20%10th90th$4,677Professionalmedian $2,692 · 10th–90th $1,905–$5,1290%10%10th90th$2,692$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $4,786.30 / $20,892.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,511.89 / $4,897.79
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,890.45 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $3,890.45 / $5,754.40
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $4,168.69 / $5,248.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $4,168.69 / $5,248.07
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $3,715.35 / $3,890.45
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,630.27 / $2,691.53
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $4,073.80 / $5,623.41
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,890.45 / $5,011.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $2,454.71 / $5,754.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,951.21 / $5,128.61
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,454.71 / $3,715.35