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Missouri 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
$2,241.94 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,095.33 / $2,594.01 / $6,352.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,234.80 / $2,752.42 / $4,390.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,044.53 / $3,066.80 / $6,419.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,028.00 / $11,043.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,261.01 / $4,201.31 / $27,293.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,261.01 / $3,305.22 / $6,683.56