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Utah 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
$3,162.28 / $4,168.69 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,090.30 / $6,025.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $3,981.07 / $5,011.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $60.26 / $13,489.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $5,623.41 / $13,182.57
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $6,309.57 / $8,709.64
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $4,365.16 / $11,748.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,467.37 / $5,754.40