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Ohio 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
$3,021.50 / $8,956.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,021.50 / $3,093.52 / $7,916.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,097.00 / $8,010.00 / $36,529.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,260.84 / $2,976.06 / $5,108.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,631.79 / $2,631.79 / $3,832.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,838.21 / $2,838.21 / $3,096.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.34 / $3,779.80 / $5,727.30
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,708.71 / $3,863.32 / $5,458.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.83 / $2,344.49 / $3,635.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.00 / $3,086.00 / $6,792.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,757.63 / $3,576.48 / $5,603.66