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Maryland rates for HCPCS 33615

Repair of complex cardiac anomalies (eg, tricuspid atresia) by closure of atrial septal defect and anastomosis of atria or vena cava to pulmonary artery (simple Fontan procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,249.48 / $2,469.96 / $4,993.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,386.01 / $2,584.25 / $3,096.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,882.22 / $2,462.46 / $5,061.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,058.36 / $2,655.28 / $4,400.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,642.59 / $2,256.87 / $3,821.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,622.00 / $1,622.00 / $2,887.13