go back

Alaska rates for HCPCS 33617

Repair of complex cardiac anomalies (eg, single ventricle) by modified Fontan procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,217.01 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,022.70 / $11,941.04 / $11,941.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,298.59 / $7,298.59 / $7,298.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,614.66 / $11,941.04 / $17,075.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,170.60 / $13,427.40 / $17,155.13
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,992.50 / $9,271.29 / $13,652.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,614.66 / $11,941.04 / $17,075.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,035.57 / $9,397.50 / $14,345.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,838.86 / $8,758.29 / $13,472.16