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Arizona 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
$1,671.00 / $3,617.00 / $7,562.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,058.82 / $2,407.96 / $11,022.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,805.25 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,583.42 / $2,111.23 / $2,639.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,064.82 / $2,441.92 / $3,737.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,762.00 / $2,565.78 / $4,794.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,978.20 / $2,380.69 / $27,293.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $6,416.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,938.50 / $2,362.85 / $4,146.18