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Louisiana 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
$900.00 / $2,756.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,058.82 / $3,007.84 / $3,281.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,984.26 / $3,578.03 / $3,910.41
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,103.94 / $2,895.82 / $3,927.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,309.00 / $7,168.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,048.94 / $3,097.58 / $4,688.25