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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
$1,277.00 / $2,607.81 / $4,625.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,032.58 / $2,607.81 / $3,103.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,093.00 / $2,770.15 / $2,770.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,546.28 / $3,741.65 / $4,565.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,056.00 / $2,558.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,967.08 / $2,845.07 / $4,366.22