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West Virginia 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
$1,400.00 / $2,084.78 / $2,084.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,084.78 / $2,203.03 / $2,468.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,101.76 / $2,411.84 / $2,627.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,335.76 / $2,335.76 / $2,335.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,257.48 / $2,257.48 / $2,257.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,881.09 / $3,004.35 / $13,160.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,634.75 / $2,497.82 / $3,693.46