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Wyoming rates for HCPCS 33617

Repair of complex cardiac anomalies (eg, single ventricle) by modified Fontan procedure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,145.16 / $2,145.16 / $2,145.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,909.00 / $5,535.00 / $6,642.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,002.24 / $3,017.30 / $5,129.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,347.84 / $6,695.69 / $8,632.79