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Arkansas 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
$1,698.24 / $2,511.89 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,344.23 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $3,630.78 / $4,570.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $1,071.52 / $2,570.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,754.23 / $4,365.16