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Ohio 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
$2,382.08 / $7,228.55 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,382.08 / $2,404.96 / $6,241.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,097.00 / $8,010.00 / $36,529.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,825.72 / $2,571.28 / $4,286.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,075.03 / $2,075.03 / $3,021.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,237.77 / $2,237.77 / $2,743.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,935.61 / $3,118.66 / $4,518.75
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,136.06 / $3,153.23 / $4,302.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.77 / $1,863.68 / $2,852.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.00 / $3,086.00 / $6,792.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,147.96 / $2,796.04 / $4,432.60