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North Carolina 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
$1,615.00 / $2,230.42 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,100.46 / $2,100.46 / $5,552.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,079.35 / $4,985.89 / $5,912.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,515.26 / $3,496.75 / $5,793.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,992.12 / $2,917.00 / $5,491.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,832.83 / $2,832.83 / $2,832.83
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,598.90 / $3,598.90 / $3,598.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,086.00 / $7,778.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,088.35 / $2,986.34 / $5,806.57
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $51,476.88 / $62,001.94
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24,290.00 / $24,290.00 / $27,293.42