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Oklahoma 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
$1,346.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,662.59 / $2,662.59 / $2,745.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,430.33 / $2,936.08 / $3,718.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,269.60 / $2,928.28 / $3,438.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.00 / $2,837.00 / $6,155.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,967.08 / $2,807.04 / $27,293.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.81 / $2,487.11 / $3,681.15