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Idaho 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
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,056.36 / $3,561.94 / $8,126.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,724.80 / $4,559.64 / $5,090.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,084.68 / $4,393.38 / $10,401.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,333.79 / $4,939.24 / $5,253.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $4,125.89 / $4,597.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,939.24 / $5,399.98 / $5,468.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,731.98 / $3,681.46 / $5,866.71