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Alaska rates for HCPCS 33619

Repair of single ventricle with aortic outflow obstruction and aortic arch hypoplasia (hypoplastic left heart syndrome) (eg, Norwood procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,876.65 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,966.00 / $15,128.71 / $15,128.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,216.98 / $9,216.98 / $9,216.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.59 / $15,128.71 / $21,634.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,566.35 / $17,052.00 / $21,731.97
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,150.00 / $11,774.00 / $16,935.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.59 / $15,128.71 / $21,634.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,639.05 / $11,892.00 / $18,074.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,370.06 / $11,060.37 / $16,951.14