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Hawaii 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
$2,818.38 / $2,818.38 / $2,818.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,570.40 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,691.53
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,235.94 / $3,890.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,344.23 / $2,754.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,454.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,570.40 / $3,311.31
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $2,511.89 / $3,715.35