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Hawaii 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
$2,747.00 / $2,747.00 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,623.22 / $2,623.22 / $2,623.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,195.21 / $3,195.21 / $3,391.16
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,693.13 / $4,041.73 / $4,996.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,811.79 / $3,067.40 / $3,578.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.00 / $2,446.00 / $2,446.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,607.29 / $3,258.03 / $4,243.18
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $3,139.07 / $4,598.96