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North Dakota 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
$2,095.04 / $2,095.04 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,043.79 / $2,095.04 / $3,182.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,113.68 / $4,475.45 / $5,287.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,907.36 / $3,766.77 / $6,080.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,095.04 / $2,878.79 / $6,285.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,186.46 / $3,967.54 / $5,370.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,324.21 / $4,225.84 / $5,370.11